Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Lanae Sparkman Fowler, DO, MBA

Individual provider Surgery Physician · NPI 1487403697

Andrea Lanae Sparkman Fowler, DO, MBA is a Surgery Physician in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone: (541) 768-4906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 226720 (OR)
Surgery Physician Taxonomy 208600000X · Licence 220411 (OR)

Record details

NPI number1487403697
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , MBA
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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