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1306256359
CORBIN MICHAEL ALLRED
GRESHAM, OR
NPI
1306256359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA174316)
Enumeration Date
2014-04-29
Last Update Date
2015-12-03
Business Address
CORBIN MICHAEL ALLRED PA-C
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080-1494
Phone number: 503-666-5050
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Mailing Address
CORBIN MICHAEL ALLRED PA-C
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number:
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