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

Individual provider Family Medicine Physician · NPI 1669416673

Dr. Kevin Dj Ewanchyna, MD is a Family Practice in Corvallis, Oregon. Qualified in 1992, 34 years ago. Practices with The Corvallis Clinic P C, a 129-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
34
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 754-1282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD20353 (OR)

Record details

NPI number1669416673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice The Corvallis Clinic P C — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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