Dr. Blake Cooper Corcoran, MD
Dr. Blake Cooper Corcoran, MD is a Sports Medicine in Lebanon, Oregon. Graduated from University of Missouri, Kansas City, School of Medicine in 2012, 14 years ago. Practices with Mid-Valley Healthcare Inc, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon, Pennsylvania and Washington.
- Years since qualifying
- 14
- Trained at
- University of Missouri, Kansas City, School of Medicine
- Licensed in
- OR, PA, WA
- In the registry since
- 2012
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
675 N 5th StLebanon, OR 97355-2875
Phone: (541) 451-6282
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1125 Se Washington St., Pullman, WA 99164 — (509) 335-3575
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence MD222671 (OR) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence MD458625 (PA) |
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence MD60771757 (WA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD458625 (PA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD600771757 (WA) |
Record details
| NPI number | 1235490038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2012 |
| Last updated in NPPES | March 11, 2026 |
| Certification date | March 11, 2026 |
| Mailing address | Po Box 1189, Corvallis, OR 97339-1189 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Mid-Valley Healthcare Inc — 142 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |