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Brandon J Cornejo

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964

PECOS Enrollment

This provider is enrolled in PECOS as BRANDON CORNEJO.

Based on the most recent information from CMS, provider Brandon J Cornejo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053576082
Provider Type
Individual
Full Name
Cornejo, Brandon J
Credential
MD, PH.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/18/2008
Last Updated
10/9/2018

Contact Information

Practice Location

3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964

(503) 220-8262

Unlisted Fax

Mailing Location

3710 SW Us Veterans Hospital Rd, Portland Va Medical Center, Portland, OR 97239-2964

(503) 220-8262

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD157596 Oregon

Brandon J Cornejo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Beckman, Morgyn

Weathers, Eric

Yaeger, Deborah

Huynh, Thuy Uyen

Blekic, Amela

Njoroge, Stephen

Sack, Robert Leroy

Mack, Joel David

Kennedy, Donald Louis

Anderson, Jordan Roderick