Elizabeth Corbett-Furgal

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT-AT-10152547 Issued in OR

Practice address

2811 NE Holman St
Portland, OR 97211-6067

Phone

(503) 280-8694

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1073145447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 NE HOLMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 NE HOLMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116067",
            "telephone_number": "503-280-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT-FURGAL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OR",
            "license": "AT-AT-10152547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter G Coppola, P. T.
• Constance Joan Coquillette, LCSW
• Cora Forsten LLC
• Raina Corah, D.C.
• Nate J Corbell, LMT
• Jana Marie Corbett, B.SC., M.SC., PH.D.
• Koren Olivia Corbett, CNM
• Kristin Corbett, RPH
• Tiffany Corbett
• Nicole Corbin Lawson, QMHP,LPC,CADC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.