Individual
SUSAN A CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
(541) 768-5300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
236347
CA
367A00000X
Advanced Practice Midwife
200350064NP NMNP
OR
Other
Enumeration date
04/27/2006
Last updated
05/13/2025
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