Individual
MR. CORT R GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-9334
(503) 362-8016
Mailing address
1234 COMMERCIAL S, SALEM, OR 97302
(503) 362-9334
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD15175
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162552
—
OR
Enumeration date
07/31/2006
Last updated
10/17/2007
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