Individual
MR. STEVEN G CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
300 NW 3RD AVE, CANBY, OR 97013-3603
(503) 266-1800
Mailing address
6799 SW ALDEN ST, PORTLAND, OR 97223-1328
(503) 244-7355
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-643631
OR
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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