Search › Oregon › 207RI0200X
Jill Provaznik, MD
NPI 1992185995 · on the registry since 2015
Practice
- Address
- 3640 Nw Samaritan Dr Ste 210
Corvallis, OR 97330 - Phone
- (541) 768-5810
- Organisation at this address
- Jaffer H Bashey Md Pc
Lisa A. Cornelius Dpm Pc
Oral Surgery Associates, Pc
Good Samaritan Hospital Corvallis
Good Samaritan Hospital CorvallisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Additional practice sites
- 30 N 1900 E Rm 4b319, Salt Lake City, UT
- 9205 Sw Barnes Rd, Portland, OR
Registry record
- Primary taxonomy
- 207RI0200X
207RI0200X
- Also registered as
- 207R00000X
207RI0200X - Licence states on file
- OR, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon