Organization
MAGDALENNE CORSO, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE SCHLIMGEN (CLINIC MANAGER)
(503) 722-9833
Entity
Organization
Contact information
Practice address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7632
Mailing address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276009
—
OR
Enumeration date
02/20/2019
Last updated
02/20/2019
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