Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORY ADEN-WANSBURY, M.D.
Active Sole ProprietorDR. CORY ADEN-WANSBURY, M.D. is a Clinic/Center healthcare provider located in MEDFORD, Oregon. NPI 1033145578 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · MEDFORD, OR
Registration Details
- NPI Number
- 1033145578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2006 (20.107510516043 yrs)
- Last Updated
- Aug 15, 2008
- Licenses
-
G22730 (CA)MD23944 (OR)MD23944 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6151 DARK HOLLOW RDMEDFORD, OR, 975014866Browse OR providers · Browse ZIP 97501
- Phone
- 5415128814
- Primary Specialty
-
Clinic/Center
261Q00000X
- Additional Specialty
- Clinic/Center
- Additional Specialty
- Prison Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.