Brandt, Marisa Stoller

Brandt, Marisa Stoller is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-5472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Brandt, Marisa Stoller can be contacted via phone (541) 768-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-5472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A101202 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD152658 Oregon

Profile Details

NPI number 1851587901
LBN Legal business name Brandt, Marisa Stoller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2007
Last updated Jul 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851587901 NPPES
Oregon MEDICAID 500627460

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