Provider Demographics
NPI:1669647830
Name:CHIOVARO, JOSEPH CORBY (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CORBY
Last Name:CHIOVARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 SW MADRID LOOP
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-3077
Mailing Address - Country:US
Mailing Address - Phone:206-375-4894
Mailing Address - Fax:
Practice Address - Street 1:18081 SW LOWER BOONES FERRY RD STE 2
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-7290
Practice Address - Country:US
Practice Address - Phone:503-673-3893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR152416207R00000X
WA61259463207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine