Corso, Magdalenne Marie
Corso, Magdalenne Marie is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Ste 275, Tualatin OR 97062-5708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Corso, Magdalenne Marie can be contacted via phone (503) 691-2519.Contact Information
Primary practice address
19260 Sw 65Th Ave Ste 275
Tualatin OR 97062-5708
Phone: (503) 691-2519
Fax: (503) 659-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD25140 | Oregon |
Profile Details
| NPI number | 1124064852 |
|---|---|
| LBN Legal business name | Corso, Magdalenne Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Nov 17th, 2011 - about 14 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 | 1124064852 | NPPES |
| Oregon | MEDICAID | 276009 |
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