Cowan, Tavis

Cowan, Tavis is an sole proprietor health care provider with primary practice located at 3680Nwsamaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cowan, Tavis can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
3680Nwsamaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD172092 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0011895 Vermont
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0420011895 Vermont

Profile Details

NPI number 1306880026
LBN Legal business name Cowan, Tavis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 3rd, 2015 - about 10 years ago

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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