Individual
CASEY CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3156 STATE ST, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Mailing address
595 N MAIN ST, STE 2, ASHLAND, OR 97520-1821
(541) 488-1116
(541) 488-6409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150004NP
OR
Other
Enumeration date
03/03/2011
Last updated
05/25/2016
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