Kordenbrock, Derek Brent

Kordenbrock, Derek Brent is an individual health care provider with primary practice located at 1345 Center Dr Unit A , Medford OR 97501-7945. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Kordenbrock, Derek Brent can be contacted via phone (541) 734-9030.

Contact Information

Primary practice address
1345 Center Dr Unit A Medford OR 97501-7945
Phone: (541) 734-9030
Fax: (541) 734-9885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 22446 California
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 201604376NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 22446 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201604376NP-PP Oregon

Profile Details

NPI number 1245579408
LBN Legal business name Kordenbrock, Derek Brent
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2013
Last updated Mar 20th, 2023 - about last year

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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