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Contact Information

ELIZABETH CORBETT FURGAL
2811 NE HOLMAN ST
PORTLAND, OR97211-6067
 Phone: 503-280-8694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ELIZABETH CORBETT FURGAL · (Female)

NPI # 1073145447
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2020
Last updated 02/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # AT-AT-10152547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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