Kori E Anderson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA227721 Issued in WA

Practice address

2298 NW Kings Blvd
Corvallis, OR 97330-3923

Phone

(541) 368-5986

Fax

(866) 624-8745

NPI assigned

Dec 24, 2013

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Pain Alliance

  dba Black Stone Health

  • Pain Medicine Physician
  • Bellingham, WA
  • NPI 1649776394

  OR

  Medicare reassignment Care Compare group
• Care First Medical Group LLC

  • Psychiatry Physician
  • New Brunswick, NJ
  • NPI 1861882193
  Medicare reassignment
• North Jersey Health and Wellness LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ramsey, NJ
  • NPI 1285005884
  Medicare reassignment
• New Jersey Cardiovascular Associates, LLC

  • Cardiovascular Disease Physician
  • East Brunswick, NJ
  • NPI 1386142842
  NPD (past)

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1902227630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 E MOUNTAIN VIEW DR SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225833",
            "telephone_number": "541-619-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303923",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 State St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013581",
            "country_code": "US",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KORI",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00365300",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA227721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Elizabeth Anderson, N.D.
• Eric C Anderson
• Gina Kathleen Anderson, D.O.
• Jeffrey Anderson
• Jonathan Anderson
• Lorinda Anderson, PHARMD
• Theresa Anderson
• Zoeanne Marie Anderson
• Csilla Elizabeth Andor, MSW, LCSW
• Tyler Marcus Andrea, DO

• Medical Physician Assistant in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.