Individual
JOSEPHINE CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 N WILLAMETTE BLVD, KENNA HALL 138, PORTLAND, OR 97203-5743
(503) 238-0769
Mailing address
5000 N WILLAMETTE BLVD, KENNA HALL 138, PORTLAND, OR 97203-5743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2007
Last updated
12/04/2007
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