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Physician Compare National (NPI:1083761175)

HEALTHCARE PROVIDER: CHRISTINE MARIE CORBIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1083761175
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6608854252
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040709001059
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CORBIN
Individual professional last name
Provider First Name CHRISTINE
Individual professional first name
Provider Middle Name MARIE
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4660 NE BELKNAP CT
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 109
Group Practice or individual's line 2 address
City HILLSBORO
Group Practice or individual's city
State OR
Group Practice or individual's state
Zip Code 971248402
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 380021
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 TUALITY COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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