Individual
CHRISTINA E HIGGINS KORKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 393-4273
Mailing address
614 W CENTRAL ST, GATES, OR 97346-9307
(503) 409-1506
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW2253
OR
Other
Enumeration date
12/08/2017
Last updated
03/14/2022
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