Individual
JUDY LYNN CORRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 779-2003
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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