Individual
KRISTIN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6400 N INTERSTATE AVE, PORTLAND, OR 97217-4834
(503) 467-4848
(503) 808-9911
Mailing address
2817 SE 18TH AVE, PORTLAND, OR 97202-2220
(503) 236-3626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9417
OR
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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