Comardelle, Alla

Comardelle, Alla is an individual health care provider with primary practice located at Kaiser Sunnyside Medical Center 10180 Se Sunnyside Rd., Clackamas OR 97015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Comardelle, Alla can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
Kaiser Sunnyside Medical Center 10180 Se Sunnyside Rd. Clackamas OR 97015
Phone: (503) 652-2880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 026067 Louisiana

Profile Details

NPI number 1558397034
LBN Legal business name Comardelle, Alla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 13th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558397034 NPPES
Louisiana MEDICAID 1050890

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