Individual
MARQUITA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
9025 SW CENTER ST, TIGARD, OR 97223-6308
(503) 726-3706
Mailing address
9025 SW CENTER ST, TIGARD, OR 97223-6308
(503) 726-3706
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
01/21/2022
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