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Individual

CORY CORREIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1908 SW 144TH AVE, BEAVERTON, OR 97005-2356
(541) 231-5287
Mailing address
707 NE COUCH ST, PORTLAND, OR 97232-2922

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/28/2018
Last updated
06/28/2018
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