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CORRIE ANNE DOYLE PA-C NPI 1902179237


NPI Information

NPI: 1902179237
Provider Name: CORRIE ANNE DOYLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
9900 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 571-5780
Get Directions

Corrie Anne Doyle, PA-C is a surgical physician assistant in Clackamas, OR with 13 years of experience. Corrie Anne Doyle, PA-C NPI is 1902179237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-777
Phone: (503) 571-5780
Fax: (503) 571-8987

The NPI 1902179237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 12/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA156811OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA156811OTHEROREGONOREGON STATE LICENSE
2PENDINGMEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.