Healthcare Provider Details

I. General information

NPI: 1083761175
Provider Name (Legal Business Name): CHRISTINE MARIE CORBIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 NE BELKNAP CT SUITE 109
HILLSBORO OR
97124
US

IV. Provider business mailing address

PO BOX 1719
HILLSBORO OR
97123
US

V. Phone/Fax

Practice location:
  • Phone: 503-693-1944
  • Fax: 503-693-1941
Mailing address:
  • Phone: 503-693-1944
  • Fax: 503-693-1941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD22869
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: