Corbin Michael Allred, PA-C
Physician Assistant in Gresham, OR. Individual provider (NPI-1).
NPI number1306256359
StatusActive
Last updated in NPPESDec 3, 2015
Details
- NPI
- 1306256359
- Entity type
- Individual (NPI-1)
- Name
- Corbin Michael Allred
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2014
- Last updated
- Dec 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA174316 | OR | Yes |
Practice location
2850 Se Powell Valley RdGresham, OR 97080-1494
Phone 503-666-5050
Mailing address
Po Box 3777Portland, OR 97208-3777
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All 49 Physician Assistant providers in Gresham · All 2,430 providers in Gresham
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