Kormaskova, Elena Valeryevna
Kormaskova, Elena Valeryevna is an individual health care provider with primary practice located at 2050 Progress Way , Woodburn OR 97071-9764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kormaskova, Elena Valeryevna can be contacted via phone (503) 981-5348.Contact Information
Primary practice address
2050 Progress Way
Woodburn OR 97071-9764
Phone: (503) 981-5348
Fax: (503) 467-5588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD158199 | Oregon |
Profile Details
| NPI number | 1720347206 |
|---|---|
| LBN Legal business name | Kormaskova, Elena Valeryevna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2012 |
| Last updated | Oct 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720347206 | NPPES |
| Oregon | MEDICAID | 500647564 |
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