Individual
MS. KORI E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2298 NW KINGS BLVD, CORVALLIS, OR 97330-3923
(541) 368-5986
(866) 624-8745
Mailing address
2795 E MOUNTAIN VIEW DR SE, ALBANY, OR 97322-5833
(541) 619-8542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00365300
NJ
363AM0700X
Medical Physician Assistant
25MP00365300
NJ
363AM0700X
Medical Physician Assistant
Primary
PA227721
WA
Other
Enumeration date
12/24/2013
Last updated
02/20/2026
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