Individual
CORRIN ERIN GINNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8641
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO156802
OR
208M00000X
Hospitalist Physician
Primary
DO156802
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647070
—
OR
01
—
P01133848
RR MEDICARE - PH&S - OREGON (PMG)
OR
Enumeration date
04/16/2009
Last updated
03/10/2021
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