Corley, Jacquelyn

Corley, Jacquelyn is an sole proprietor health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 210 , Corvallis OR 97330-3771. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Corley, Jacquelyn can be contacted via phone (541) 768-4501.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 210 Corvallis OR 97330-3771
Phone: (541) 768-4501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD211053 Oregon

Profile Details

NPI number 1275929473
LBN Legal business name Corley, Jacquelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2015
Last updated Aug 22nd, 2022 - about 3 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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