Robert Jason Coryell MD

NPI 1619082070 - Pediatrics - 208000000X

NPI Details
NPI 1619082070
Gender Male
Enumeration Date 08/19/2006
Last Updated 08/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
707 SW GAINES ST
MC: CDRC-P
PORTLAND OR, 97239-2901, US
Phone (503) 494-5856
Fax
Business Location
707 SW GAINES ST
MC: CDRC-P
PORTLAND OR, 97239-2901, US
Phone (503) 494-5856
Fax
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number ML20008670
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According to our database, Robert Jason Coryell MD NPI is 1619082070, taxonomy code is 208000000X and license number is ML20008670, license state is located at Washington. Robert Jason Coryell MD physically located at 707 Sw Gaines St, Portland OR, 97239-2901. NPI Number Robert Jason Coryell MD has the Individual type.

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1619082070 NPI number is provided on an as is basis without warranty of any kind. 1619082070 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Jason Coryell MD are for informational purposes only.