Individual
DR. TANYA LYNNE KORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
74 E 18TH AVE STE 12, EUGENE, OR 97401-4081
(541) 224-5078
(541) 219-5859
Mailing address
465 LOCHMOOR PL, EUGENE, OR 97405-2053
(480) 220-0324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812142
—
OR
Enumeration date
03/13/2008
Last updated
05/29/2025
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