JILL M PROVAZNIK MD
Individual Provider (NPI-1)
Active
Internal Medicine, Infectious Disease
Provider Information
- NPI Number
1992185995- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3640 NW SAMARITAN DR STE 210, CORVALLIS, OR, 973303787
- Phone
- (541) 768-5810
Specialties & Taxonomies
Internal Medicine
License: OR #MD189615
Internal Medicine, Infectious Disease
License: UT #11262304-1205
Internal Medicine, Infectious Disease
Primary License: OR #MD189615
All Addresses
MAILING
PO BOX 1189
CORVALLIS, OR, 973391189