Tana Kornachuk, PA-C

NPI #1922463645 in Woodburn, Oregon

Provider Information

NPI Number: 1922463645
Entity Type: Individual
Name: Tana Kornachuk, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 22, 2015
Last Updated: Dec 30, 2024

Practice Location

Address: 2902 TOM TENNANT DR
City: Woodburn
State: Oregon
ZIP Code: 97071-2828
Phone: (971) 345-4767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X
Student in an Organized Health Care Education/Training Program	390200000X

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