Individual
DR. CORBETT SILCOX RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
425 N SANTIAM HWY, LEBANON, OR 97355-4361
(541) 451-6960
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO168368
OR
Other
Enumeration date
06/27/2011
Last updated
11/04/2020
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