Coryell, Robert Jason

Coryell, Robert Jason is an individual health care provider with primary practice located at 707 Sw Gaines St Mc: Cdrc-P, Portland OR 97239-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Coryell, Robert Jason can be contacted via phone (503) 494-5856.

Contact Information

Primary practice address
707 Sw Gaines St Mc: Cdrc-P Portland OR 97239-2901
Phone: (503) 494-5856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ML20008670 Washington

Profile Details

NPI number 1619082070
LBN Legal business name Coryell, Robert Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 14th, 2014 - about 11 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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