Individual
COREY ROBERT O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1854
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(516) 661-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61134393
WA
208M00000X
Hospitalist Physician
Primary
MD61134393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871940312
—
WA
Enumeration date
05/14/2016
Last updated
03/21/2023
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