Basic Information
| Provider Information | |||||||||
| NPI: | 1942896386 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAIF | ||||||||
| FirstName: | SYED | ||||||||
| MiddleName: | SAAD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 NW SAMARITAN DR | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973305472 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417684906 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3600 NW SAMARITAN DR | ||||||||
| Address2: | |||||||||
| City: | CORVALLIS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973305472 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417684906 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2020 | ||||||||
| LastUpdateDate: | 06/07/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 04/28/2022 | ||||||||
| NPIReactivationDate: | 05/28/2022 | ||||||||
| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | PG211214 | OR | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.