Individual
ANDREW ALFRED CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 SE VIEWMONT AVE, CORVALLIS, OR 97333-1968
(541) 766-3546
(541) 766-6143
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23625
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627292
—
OR
Enumeration date
12/11/2008
Last updated
05/19/2025
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