Individual
MAGDALENNE MARIE CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19260 SW 65TH AVE, STE 275, TUALATIN, OR 97062-5708
(503) 691-2519
(503) 659-8984
Mailing address
19260 SW 65TH AVE, STE 275, TUALATIN, OR 97062-5708
(503) 691-2519
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD25140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276009
—
OR
Enumeration date
06/21/2006
Last updated
11/17/2011
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