| Mr James Robert Kornbau, MS | |
|
160 S 2nd St, Coos Bay, OR 97420-1603 | |
| (541) 266-9639 | |
| (541) 266-9763 |
| Full Name | Mr James Robert Kornbau |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 160 S 2nd St, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184844573 | NPI | - | NPPES |
| 126354 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 21488 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Robert Kornbau, MS 56515 Levi Bunch Rd, Coquille, OR 97423-7742 Ph: (541) 396-3467 | Mr James Robert Kornbau, MS 160 S 2nd St, Coos Bay, OR 97420-1603 Ph: (541) 266-9639 |
Sandra Renae Randolph, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4595 | |
Dale Lisonbee, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1350 Teakwood Ave, Coos Bay, OR 97420 Phone: 541-266-4019 |