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Bryan Corley

Peer Specialist β€’ Fairview, OR

Active NPI 1487014452 Individual Practitioner Male Practitioner
Practice location in NPPES

1945 Ne 205th Ave
Fairview, OR 970249622

Call 5036618050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1945 Ne 205th Ave

Fairview, OR 970249622

Telephone 5036618050
Fax 5034924651
Organization at the Same NPPES Address or Phone
Columbiacare Services Facility NPI 1043410962

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairview and Oregon

1 active clinicians are listed under Peer Specialist with a practice address in Fairview, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES None PROFESSIONALLICENSE

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 22, 2023

Registered at 1945 NE 205TH AVE, FAIRVIEW, OR 970249622 (Tel: 5036618050)

πŸ“
Updated Business Mailing Address February 22, 2023

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Peer Specialist (license number reported to NPPES: None PROFESSIONALLICENSE)

βœ…
NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2016

Registered at 805 SE 151ST AVE, PORTLAND, OR 972332916 (Tel: 9712717270)

πŸ“
Business Mailing Address (Initial Record) March 03, 2016

Registered at 805 SE 151ST AVE, PORTLAND, OR 972332916

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2016

Recorded as BRYAN CORLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Peer Specialist

🟒
Initial NPI Registration & Enumeration March 03, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487014452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2016
Last Update: February 22, 2023
Sole Proprietor: No

Mailing Address

3587 Heathrow Way

Medford, OR 975044004

Phone: 5418588170

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.