Individual
DR. BLAKE COOPER CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N 5TH ST, LEBANON, OR 97355-2875
(541) 451-6282
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD458625
PA
207Q00000X
Family Medicine Physician
MD600771757
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD222671
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
MD458625
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD60771757
WA
Other
Enumeration date
06/07/2012
Last updated
03/11/2026
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