IndividualActive
Derek Kordenbrock, NP
NPI 1245579408 · Adult Health Nurse Practitioner · Medford, OR
Provider details
- NPI number
- 1245579408
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 22446 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1345 Center Dr Unit a
Medford, OR 97501-7945
Phone: (541) 734-9030
Fax: (541) 734-9885
Approximate (ZIP-level) locationGet directions
Mailing address
815 N Central Ave Ste C
Medford, OR 97501-5873
Registry dates
- Enumerated
- 2013-02-07
- Last updated
- 2023-03-20
- Certified
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.