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Corvallis Pediatrics, LLC

Primary Care Clinic/Center in Corvallis, OR · enumerated 2025 · authorized official Kourtney Hanks, Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720979651

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Registry record

Entity type Organization (Type 2)
Legal business name Corvallis Pediatrics, LLC
Practice address 1873 Nw Kings Blvd, Corvallis, OR, 97330
Phone (541) 745-8715
Enumeration date Jul 10, 2025
Last updated in NPPES Jul 10, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kourtney Hanks
Title Nurse Practitioner
Phone (541) 745-8715

Other identifiers

Identifier Type State Issuer
1013371707 Medicaid OR -

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.

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Frequently asked questions

Who is the authorized official for Corvallis Pediatrics, LLC?
NPPES lists Kourtney Hanks (Nurse Practitioner) as the authorized official for this organization.
What is the NPI number for Corvallis Pediatrics, LLC?
The NPI for Corvallis Pediatrics, LLC is 1720979651, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-10.