Corll, David James

Corll, David James is an individual health care provider with primary practice located at 9375 Sw Commerce Cir A-1 , Wilsonville OR 97070-9630. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Corll, David James can be contacted via phone (503) 585-9200.

Contact Information

Primary practice address
9375 Sw Commerce Cir A-1 Wilsonville OR 97070-9630
Phone: (503) 585-9200
Fax: (503) 582-1487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 27 3234 Oregon

Profile Details

NPI number 1386717288
LBN Legal business name Corll, David James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386717288 NPPES
Oregon MEDICAID 006024

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