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Individual

ELLYN M KORNFEIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(250) 097-7018
Mailing address
908 NW 15TH ST, BEND, OR 97703-2126
(610) 761-9743

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD223927
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A198402
STATE MEDICAL BOARD
CA
01
MD223927
STATE MEDICAL BOARD
OR
Enumeration date
06/14/2021
Last updated
07/18/2025
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