Individual
LISA DIANE CORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2200 NE NEFF RD, STE 202, TAI - CENTRAL OREGON BEND, BEND, OR 97701-4281
(541) 388-7738
(541) 312-0121
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4191
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228805
—
OR
01
—
P00952511
RR MEDICARE
OR
Enumeration date
12/16/2005
Last updated
11/01/2012
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