Individual
CORRIE ALENA BLACK-ROFINOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
11782 SW BARNES RD STE 100, PORTLAND, OR 97225-5931
(503) 906-4323
(503) 906-4333
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 906-4323
(503) 906-4333
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4829
LICENSE NUMBER
OR
Enumeration date
10/04/2006
Last updated
08/09/2016
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