Corvallis Pediatrics, LLC
Corvallis Pediatrics, LLC is a healthcare organization registered as Primary Care Clinic/Center in Corvallis, OR, holding Type 2 (organization) NPI 1720979651 since 2025. The authorized official on file is Kourtney Hanks, Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720979651 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Corvallis Pediatrics, LLC |
| Practice address | 1873 NW KINGS BLVD, Corvallis, OR, 97330 |
| Phone | 5417458715 |
| Enumeration date | 2025-07-10 |
| Last updated in NPPES | 2025-07-10 |
Authorized official
| Name | Kourtney Hanks |
|---|---|
| Title | Nurse Practitioner |
| Phone | 5417458715 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013371707 | Medicaid | OR | — |
Copy-ready billing details
Provider: Corvallis Pediatrics, LLC NPI: 1720979651 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 1873 NW KINGS BLVD, Corvallis, OR, 97330
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821869322 | Emily Maize | Individual | Lactation Consultant (Non-RN) | Corvallis, OR |
| 1548159015 | Nest & Nurture, LLC | Organization | Clinic/Center | Corvallis, OR |
Verify this record
Cross-check NPI 1720979651 against the authoritative CMS record: view Corvallis Pediatrics, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Corvallis Pediatrics, LLC?
What is the NPI number for Corvallis Pediatrics, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-10.