Individual
ELIZABETH CORBETT-FURGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 NE HOLMAN ST, PORTLAND, OR 97211-6067
(503) 280-8694
Mailing address
2811 NE HOLMAN ST, PORTLAND, OR 97211-6067
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT-AT-10152547
OR
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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