Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL M PROVAZNIK, MD
ActiveJILL M PROVAZNIK, MD is a Infectious Disease healthcare provider located in CORVALLIS, Oregon. NPI 1992185995 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · CORVALLIS, OR
Registration Details
- NPI Number
- 1992185995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2015 (11.16965341569 yrs)
- Last Updated
- May 12, 2023
- Licenses
-
MD189615 (OR)11262304-1205 (UT)MD189615 (OR)
Practice Information
- Address
-
3640 NW SAMARITAN DR STE 210CORVALLIS, OR, 973303787Browse OR providers · Browse ZIP 97330
- Phone
- 5417685810
- Primary Specialty
-
Infectious Disease
207RI0200X
- Additional Specialty
- Infectious Disease
- Additional Specialty
- Infectious Disease
Other Infectious Disease Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| WILLIAM E MUTH | MD | 1598853822 |
| PORNTIP KIATSIMKUL | MD | 1205099082 |
| ADAM CHRISTOPHER BRADY | M.D. | 1326334855 |
| MELISSA ANNE WHITMAN | DO | 1487270575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.