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Individual

TONI L CORCORAN-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-1520
(541) 296-5256
(541) 296-5451
Mailing address
PO BOX 1520, THE DALLES, OR 97058-3388
(541) 296-5256
(541) 296-5451

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350101NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218103
OR
05
297450
OR
Enumeration date
11/18/2005
Last updated
09/21/2011
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