Corporate Health NW

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

088000392N3 Issued in OR

Legal business name

CORPORATE HEALTH NW

Practice address

10209 SE Division St
Portland, OR 97266-1327

Phone

(503) 256-5715

Fax

(503) 257-2540

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Nina Ford, ANP

Title

President

Phone

(503) 256-5715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548399322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661327",
            "telephone_number": "503-256-5715",
            "fax_number": "503-257-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661327",
            "telephone_number": "503-256-5715",
            "fax_number": "503-257-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE HEALTH NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-256-5715",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "088000392N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Corona
• Gemma Guadalupe Coronel, ND
• Jessica Corp, MS
• Corpo Sano Nutrition LLC
• Corporate Consulting Group, Inc
• Jacob William Corpron, MD
• Amanda Corr, LMT, SLP
• Sophie Corr
• Phillip Corra
• Kegan Corrado

• Primary Care Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.