Doctor Name: | DR. KEVIN CUCCARO |
NPI Number: | 1003937772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | DO154079 |
Business Practice Address: | 3680 Nw Samaritan Dr Corvallis, OR - 973303737 |
Business Phone Number: | 5417541150 |
Business Fax Number: | |
Mailing Address: | 444 Nw Elks Dr, CORVALLIS |
State: | OR |
Postal Code: | 973303745 |
Phone Number: | 5417541150 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 09/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LP2900X |
License Number: | DO154079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |