Individual
MR. DEREK BRENT KORDENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1345 CENTER DR UNIT A, MEDFORD, OR 97501-7945
(541) 734-9030
(541) 734-9885
Mailing address
815 N CENTRAL AVE STE C, MEDFORD, OR 97501-5873
(541) 734-9030
(541) 734-9885
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201604376NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
22446
CA
363LX0106X
Occupational Health Nurse Practitioner
201604376NP-PP
OR
363LX0106X
Occupational Health Nurse Practitioner
22446
CA
Other
Enumeration date
02/07/2013
Last updated
03/20/2023
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