Individual
BRADFORD C CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Mailing address
310 NW GLISAN ST, PORTLAND, OR 97209-3712
(971) 284-2147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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