Individual
CORRINE GAIL SURBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CADC I
Contact information
Practice address
10101 SW BARBUR BLVD STE 101, PORTLAND, OR 97219-5915
(503) 245-6262
Mailing address
10101 SW BARBUR BLVD STE 101, PORTLAND, OR 97219-5915
(503) 245-6262
(503) 245-6263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20-01-34
OR
Other
Enumeration date
02/25/2020
Last updated
02/26/2020
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