| Organization Name: | ALPINE ANIMAL HOSPITAL PC |
| NPI Number: | 1336441989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE C. CLARK (SECRETARY) |
| Mailing Address: | 5120 Nw Highland Dr Corvallis |
| State: | OR US |
| Postal Code: | 973309128 |
| Phone Number: | 5417527747 |
| Fax Number: | 5417527749 |
| NPI Enumeration Date: | 12/01/2010 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 088423-12 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |