Active NPIIndividual provider

Corbin M Allred, PA-C

Physician Assistant in Gresham, Oregon

NPI Number1306256359
Practice location
2850 SE Powell Valley RD, Gresham, OR 97080-1494
Fax
—
Last updated
December 3, 2015

Corbin M Allred, PA-C is a Physician Assistant based in Gresham, OR. Corbin M Allred, PA-C holds the professional credentials of PA-C. The NPI number for Corbin M Allred, PA-C is 1306256359 and holds license No. PA174316 (OR). The current practice location address is 2850 SE Powell Valley RD, Gresham, OR 97080-1494 and the office can be reached by phone at 503-666-5050. The NPI was assigned on April 29, 2014 and the record was last updated in NPPES on December 3, 2015.

●Provider Profile Details

NPI Number
1306256359
Provider Name
Corbin Michael Allred
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
April 29, 2014
Last Update Date
December 3, 2015
NPI Status
Active

◉Business Practice Location Address

Address
2850 SE Powell Valley RD
Gresham, OR 97080-1494
State
Oregon
ZIP
97080-1494
Country
US
Phone Number
503-666-5050

Get directions →

✉Business Mailing Address

Address
Po Box 3777
Portland, OR 97208-3777
City
Portland
State
OR
ZIP
97208-3777

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYesPA174316OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Corbin M Allred, PA-C?

The NPI number of Corbin M Allred, PA-C is 1306256359. It was assigned on April 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Corbin M Allred, PA-C?

Corbin M Allred, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA174316 (OR).

Where does Corbin M Allred, PA-C practice?

The practice location is 2850 SE Powell Valley RD, Gresham, OR 97080-1494. The office can be reached at 503-666-5050 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306256359 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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