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Contact Information

PRISCILLA W LATTA, MD
400 HICKORY ST NW STE 101
ALBANY, OR97321-1700
 Phone: 541-812-3360
 Fax: 541-812-4499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PRISCILLA W LATTA · (Female)

NPI # 1639154974
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2005
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD151051
  • OR Medicaid 500623286
Hospital affiliation(s)
  • GOOD SAMARITAN REGIONAL MEDICAL CENTER - (Acute Care)
    3600 NW SAMARITAN DRIVE
    CORVALLIS, OR 97330
  • SAMARITAN ALBANY GENERAL HOSPITAL - (Acute Care)
    1046 6TH AVENUE SW
    ALBANY, OR 97321
  • SAMARITAN LEBANON COMMUNITY HOSPITAL - (Critical Access)
    525 N SANTIAM HIGHWAY
    LEBANON, OR 97355
  • SAMARITAN PACIFIC COMMUNITIES HOSPITAL - (Critical Access)
    930 SW ABBEY STREET
    NEWPORT, OR 97365
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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