CORRINE GAIL SURBAN

PORTLAND, OR
NPI1548894868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  20-01-34)
Enumeration Date2020-02-25
Last Update Date2020-02-26
Business Address
CORRINE GAIL SURBAN RN, CADC I
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
Mailing Address
CORRINE GAIL SURBAN RN, CADC I
10101 SW BARBUR BLVD STE 101
PORTLAND, OR 97219-5915
Phone number: 503-245-6262
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