Individual
CORNELIA MEI BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 734-0497
(541) 732-6867
Mailing address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 734-0497
(541) 732-6867
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10740
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140136
MEDICARE ID
OR
05
—
284638
—
OR
Enumeration date
05/20/2006
Last updated
12/03/2008
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