Individual provider · Type 1 NPI
Tana Kornachuk, PA-C
Medical Physician Assistant · Woodburn, OR
NPI number
1922463645
Active
Practice location
2902 Tom Tennant Dr
Woodburn, OR 97071-2828
Mailing address
1638 Owen Dr
Fayetteville, NC 28304-3424
Other practice locations
- 1638 Owen Dr, Fayetteville, NC 28304-3424 · (910) 615-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 55810 (MT) |
| Medical Physician Assistant | 363AM0700X | 0010-06117 (NC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA223291 (OR) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Woodburn
- Marguerite Mautner Ballard, PA-CMedical Physician Assistant Woodburn, OR NPI 1215011820
- Kristyn Van AllenMedical Physician Assistant Woodburn, OR NPI 1770461931
- Miriam Habafy, PA-CMedical Physician Assistant Woodburn, OR NPI 1831273457
- Kevin Heidrick, P.A.-CMedical Physician Assistant Woodburn, OR NPI 1891884268
About NPI 1922463645
Tana Kornachuk, PA-C's National Provider Identifier is 1922463645, issued on Dec 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodburn, OR. The record was last updated on Dec 30, 2024.