Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE COOPER CORCORAN, M.D.
ActiveDR. BLAKE COOPER CORCORAN, M.D. is a Sports Medicine healthcare provider located in LEBANON, Oregon. NPI 1235490038 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LEBANON, OR
Registration Details
- NPI Number
- 1235490038
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2012 (14.142824624049 yrs)
- Last Updated
- Dec 20, 2024
- Licenses
-
MD60771757 (WA)MD222671 (OR)MD458625 (PA)MD600771757 (WA)MD458625 (PA)
Practice Information
- Address
-
675 N 5TH STLEBANON, OR, 973552875Browse OR providers · Browse ZIP 97355
- Phone
- 5414516282
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.