Individual
JEAN A KORCHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3307 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 359-4469
(503) 357-4882
Mailing address
3307 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 359-4469
(503) 357-4882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11788
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002589000
REGENCE BCBS
OR
05
—
227405
—
OR
Enumeration date
08/01/2006
Last updated
12/14/2011
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