Individual provider · Type 1 NPI

Michael J. McCusker, P. A.-C

Medical Physician Assistant · Corvallis, OR

NPI number 1013096684 Active

Practice location

530 NW 27th St
Corvallis, OR 97330-5223

Call (541) 766-6611 Map

Fax (541) 766-6186

Mailing address

981 NW Spruce Ave
Corvallis, OR 97330-2111

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01335 (OR)
Family Medicine Physician 207Q00000XMA052623 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1013096684

Michael J. McCusker, P. A.-C's National Provider Identifier is 1013096684, issued on Nov 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Corvallis, OR. The record was last updated on Mar 7, 2023.