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

Dr. Robert John Laciak, MD

Individual provider Urology Physician · NPI 1114196169

Dr. Robert John Laciak, MD is an Urology in Corvallis, Oregon. Graduated from Chicago College of Medicine and Surgery in 2006, 20 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Utah.

Years since qualifying
20
Trained at
Chicago College of Medicine and Surgery
Licensed in
OR, UT
In the registry since
2008
Specialties on file
2
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

990 NW Circle Blvd Ste 102
Corvallis, OR 97330-1967
Phone: (541) 768-5486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD152679 (OR)
Urology Physician Taxonomy 208800000X · Licence 6851346-1205 (UT)

Record details

NPI number1114196169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 25, 2008
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2006 (20 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Corvallis