Individual
CORBY MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 814-1278
Mailing address
PO BOX 742547, LOS ANGELES, CA 90074-2547
(503) 814-1278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO190742
OR
Other
Enumeration date
04/04/2016
Last updated
08/19/2019
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