Healthcare Provider Details

I. General information

NPI: 1255252334
Provider Name (Legal Business Name): SIERRA CORBIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 TIARA ST
EUGENE OR
97405-6309
US

IV. Provider business mailing address

985 TIARA ST
EUGENE OR
97405-6309
US

V. Phone/Fax

Practice location:
  • Phone: 541-525-0240
  • Fax: 458-320-0048
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SIERRA CORBIN
Title or Position: OWNER, SLP-CCC
Credential: MS.ED
Phone: 541-525-0240