Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD19615 | OR |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD19615 | OR |
N | 207VG0400X | Gynecologist | MD19615 | OR |
NPI | 1366488041 |
---|---|
Provider Name | Dr. Linda K. Fox |
First Address | Corvallis, OR 97339-1189 |
Second Address | Corvallis, OR 97330-3876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
076872 | (05) | OR |
F11742 | (02) | OR |