Individual
JOSHUA GENE KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3636 SE 77TH AVE, PORTLAND, OR 97206-2308
(503) 515-1509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD162014
OR
Other
Enumeration date
04/15/2010
Last updated
04/24/2013
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