Search › Oregon › 363AM0700X
Tana Kornachuk, PA-C
NPI 1922463645 · on the registry since 2015
Practice
- Address
- 2902 Tom Tennant Dr
Woodburn, OR 97071 - Phone
- (971) 345-4767
- Organisation at this address
- Icco, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1638 Owen Dr, Fayetteville, NC
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363AM0700X
390200000X - Licence states on file
- MT, NC, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon