IndividualActive
Bryan Corley
NPI 1487014452 · Peer Specialist · Fairview, OR
Provider details
- NPI number
- 1487014452
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PROFESSIONALLICENSE
Specialties & taxonomies
Other Service Providers
Practice location
1945 Ne 205th Ave
Fairview, OR 97024-9622
Phone: (503) 661-8050
Fax: (503) 492-4651
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.