Individual provider · Type 1 NPI

Regina M. Fiacco, PA-C

Medical Physician Assistant · Corvallis, OR

NPI number 1518934751 Active

Practice location

981 NW Spruce Ave
Corvallis, OR 97330-2111

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA158680 (OR)
Medical Physician Assistant 363AM0700XPA10004938 (WA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1518934751

Regina M. Fiacco, PA-C's National Provider Identifier is 1518934751, issued on Mar 7, 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 10, 2026.