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Individual

DR. DAVID LAWRENCE CORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9205 SW BARNES RD FL 1, PORTLAND, OR 97225-6603
(503) 216-2906
(503) 216-4114
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD27586
OR
208M00000X
Hospitalist Physician
Primary
MD27586
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242854
OR
01
P00609313
RAILROAD MEDICARE
Enumeration date
05/28/2007
Last updated
02/19/2021
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