Individual
DR. MICHAEL J KORDUS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8385 DIVISION RD STE 101, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
2859 STATE ST, SUITE 101, MEDFORD, OR 97504-8495
(541) 282-6505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9800938
NC
207Q00000X
Family Medicine Physician
Primary
MD162875
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118U
BCBS
NC
05
—
247376291B
—
GA
05
—
3889674
—
TN
01
—
4113343
BLUE SHIELD
TN
05
—
500686045
—
OR
05
—
891118U
—
NC
01
—
P00024602
RAILROAD
NC
Enumeration date
04/07/2006
Last updated
11/16/2020
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