Individual
CORRIE ANNE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-5780
(503) 571-8987
Mailing address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-5780
(503) 571-8987
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA156811
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA156811
OREGON STATE LICENSE
OR
05
—
PENDING
—
OR
Enumeration date
02/16/2012
Last updated
12/22/2021
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