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Search › Oregon › 101YM0800X

Lisa Corallo, MA

NPI 1659523769 · on the registry since 2008

Practice

Address
1215 Sw G St
Grants Pass, OR 97526
Phone
(541) 476-2373
Fax
(541) 884-2338
Organisation at this address
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Josephine County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
270

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YA0400X
106H00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon