Corson, Antoinette

Corson, Antoinette is an individual health care provider with primary practice located at 1620 E 12Th St , The Dalles OR 97058-3213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corson, Antoinette can be contacted via phone (541) 296-9151.

Contact Information

Primary practice address
1620 E 12Th St The Dalles OR 97058-3213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202213867NP-PP Oregon

Profile Details

NPI number 1982212189
LBN Legal business name Corson, Antoinette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2020
Last updated Sep 9th, 2022 - about 2 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.

Request for update

Popular Providers