Individual
MR. JAMES ROBERT KORNBAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
160 S 2ND ST, COOS BAY, OR 97420-1603
(541) 266-9639
(541) 266-9763
Mailing address
56515 LEVI BUNCH RD, COQUILLE, OR 97423-7742
(541) 396-3467
(541) 266-9763
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
21488
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126354
—
OR
Enumeration date
04/26/2007
Last updated
07/08/2007
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