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NPI Lookup from the NPI Registry — National Provider Identifier Database

BRANDON J CORNEJO, MD, PH.D. – NPI #1053576082
General Practice


Contact Information

BRANDON J CORNEJO, MD, PH.D.
3550 NORTH INTERSTATE AVE.
KAISER PERMANENTE - INTERSTATE MEDICAL OFFICE EAST
PORTLAND, OR97227-1106
 Phone: 503-285-9321
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

General Practice

208D00000X
Indicates primary specialty
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NPI Information for BRANDON J CORNEJO · (Male)

NPI Number 1053576082
Credentials MD, PH.D.
Entity Individual
Enumeration date 07/18/2008
Last updated 07/12/2012 - About 2 years ago
Sole proprietor 1 No
Identifiers
OR License # MD157596
WI License # 54982-020
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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