Corbett, Koren Olivia

Corbett, Koren Olivia is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 362 , Portland OR 97213-2983. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Corbett, Koren Olivia can be contacted via phone (503) 239-6800.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 362 Portland OR 97213-2983
Phone: (503) 239-6800
Fax: (503) 239-0006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201508263NP-PP Oregon

Profile Details

NPI number 1780056879
LBN Legal business name Corbett, Koren Olivia
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Feb 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780056879 NPPES
Oregon MEDICAID 500701561

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