Individual provider · Type 1 NPI
Derek Brent Kordenbrock, NP
Adult Health Nurse Practitioner · Medford, OR
NPI number
1245579408
Active
Practice location
1345 Center Dr Unit A
Medford, OR 97501-7945
Fax (541) 734-9885
Mailing address
815 N Central Ave Ste C
Medford, OR 97501-5873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 22446 (CA) |
| Occupational Health Nurse Practitioner | 363LX0106X | 201604376NP-PP (OR) |
| Occupational Health Nurse Practitioner | 363LX0106X | 22446 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 201604376NP-PP (OR) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1245579408
Derek Brent Kordenbrock, NP's National Provider Identifier is 1245579408, issued on Feb 7, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Medford, OR. The record was last updated on Mar 20, 2023.