Individual
ELENA VALERYEVNA KORMASKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 467-5588
Mailing address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 467-5588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD158199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647564
—
OR
Enumeration date
05/03/2012
Last updated
10/12/2023
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