Korrell, Tanya Lynne
Korrell, Tanya Lynne is an individual health care provider with primary practice located at 299 E 18Th Ave , Eugene OR 97401-4108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Korrell, Tanya Lynne can be contacted via phone (541) 682-3938.Contact Information
Primary practice address
299 E 18Th Ave
Eugene OR 97401-4108
Phone: (541) 682-3938
Fax: (541) 682-8743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38128 | Arizona |
Profile Details
| NPI number | 1861663296 |
|---|---|
| LBN Legal business name | Korrell, Tanya Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2008 |
| Last updated | Nov 29th, 2022 - about 4 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 | 1861663296 | NPPES |
| Oregon | MEDICAID | 500812142 |
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