Magdalenne Marie Corso, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD25140 Issued in OR

Practice address

19260 SW 65TH Ave
Ste 275
Tualatin, OR 97062-5708

Phone

(503) 691-2519

Fax

(503) 659-8984

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magdalenne Marie Browarski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magdalenne Corso, MD LLC

  • Pediatrics Physician
  • Oregon City, OR
  • NPI 1518423086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1124064852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "STE 275",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625708",
            "telephone_number": "503-691-2519",
            "fax_number": "503-659-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "STE 275",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625708",
            "telephone_number": "503-691-2519",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "MAGDALENNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD25140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276009",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENNE",
            "last_name": "BROWARSKI",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger Cook, PHD
• Rychel Rae Cor, PSYD
• Corinne Lazo LMT, LLC
• Jovani Corona
• Devin Corrigan, MD
• Gregory A Cost, MD
• Erin Counts, BS
• Lisa Mae Cowan, PA-C
• Michael Cowles, APRN
• Serena M Cox, OD

• Pediatrics Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.