Individual
CORIE MICHELLE CHARNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1010 SW COAST HWY STE 203, NEWPORT, OR 97365-5215
(541) 265-0445
(844) 760-0526
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4947
(844) 760-0526
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201809273RN
OR
363L00000X
Nurse Practitioner
202007246NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
202007246NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201809273RN
OREGON STATE BOARD OF NURSING
OR
01
—
202007246NP-PP
OREGON STATE BOARD OF NURSING
OR
05
—
500795963
—
OR
Enumeration date
05/21/2019
Last updated
10/13/2021
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