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
Phone: (541) 768-5111
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851587901 | NPPES |
Oregon | MEDICAID | 500627460 |
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