Individual
KATHLEEN K CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E 10TH AVE STE 250, EUGENE, OR 97401-3362
(541) 686-4153
(541) 686-3468
Mailing address
401 E 10TH AVE, EUGENE, OR 97401-3317
(541) 686-4153
(541) 686-3468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16009
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072173
—
OR
Enumeration date
11/06/2007
Last updated
11/06/2007
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