Donovan, Cory Amanda

Donovan, Cory Amanda is an sole proprietor health care provider with primary practice located at 1040 Nw 22Nd Ave Ste 560 , Portland OR 97210-3097. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Donovan, Cory Amanda can be contacted via phone (503) 413-5525.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Ste 560 Portland OR 97210-3097
Phone: (503) 413-5525
Fax: (503) 413-5526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD181298 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60729370 Washington

Profile Details

NPI number 1205062692
LBN Legal business name Donovan, Cory Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2009
Last updated Aug 5th, 2021 - 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.

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