Individual
KOREN OLIVIA CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5050 NE HOYT ST STE 362, PORTLAND, OR 97213-2983
(503) 239-6800
(503) 239-0006
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201508263NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500701561
—
OR
Enumeration date
10/28/2015
Last updated
02/19/2021
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