Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corvallis Psychiatry LLC

Organization Psychiatry Physician · NPI 1023995768

Corvallis Psychiatry LLC is a Psychiatry Physician in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5441 S Macadam Ave Ste N
Portland, OR 97239
Phone: (541) 351-7116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1023995768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Fanning — Physician · (541) 351-7116
Other names Corvallis Psychiatry
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address5441 S Macadam Ave Ste N, Portland, OR 97239

Other providers in Portland