ELENA VALERYEVNA KORMASKOVA (NPI# 1720347206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720347206 |
| Entity Type | Individual |
| Full Name | ELENA VALERYEVNA KORMASKOVA |
| Credential | MD |
| Practice Address |
2050 Progress Way Woodburn OR 97071-9764 |
| Practice Telephone | 5039815348 |
| Practice Fax Number | 5034675588 |
| Mailing Telephone | 5039815348 |
| Mailing Fax Number | 5034675588 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2050 PROGRESS WAY |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429795 | Kim Renae Wentz | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-07-16 |
| 1063069987 | Kelsey Oleson Harris | Physician Assistant | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-08-26 |
| 1467019091 | Kathryn Richelle Hale | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-05-20 |
| 1790219590 | Shanti Bhatia | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2017-04-18 |
| 1437548070 | Nancy Feltner | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2015-01-20 |
| 1154741916 | Woodburn Pediatric Clinic | Clinic/Center | 2050 Progress Way, Woodburn, OR 97071-9764 | 2014-04-21 |
| 1598027286 | Robert Charles Winchell | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-06-09 |
| 1689812695 | Saritha Seru | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2009-01-29 |
| 1790969624 | Woodburn Pediatric Clinic LLP | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2007-12-27 |
| 1053495630 | Diana Marie Linderoth | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407265 | Daisy May Macgilbert | Student in an Organized Health Care Education/Training Program | 15698 Sw Greenfield Dr, Tigard, OR 97224-3828 | 2020-11-03 |
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1497354880 | Justin Tyler Miracle | Student in an Organized Health Care Education/Training Program | 1421 Nw Cleveland Ave, Corvallis, OR 97330-2015 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1871100503 | Mason P Haye | Student in an Organized Health Care Education/Training Program | 21430 Miles Dr, West Linn, OR 97068-2880 | 2020-09-27 |
| 1760098628 | Reid Marion | Student in an Organized Health Care Education/Training Program | 21420 Colt Rd, Klamath Falls, OR 97603-9803 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELENA VALERYEVNA KORMASKOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.