Roberta Kornblum, RN - Registered Nurse in Portland, OR

Roberta Kornblum, RN is a Registered Nurse based in Portland, Oregon. Roberta Kornblum is licensed to practice in Oregon (license number 086006572RN) and her current practice location is 3034 Ne M L King Blvd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 283-3763.

NPI number for Roberta Kornblum is 1871639641 and her current mailing address is 13333 S Glenn Dr, Mulino, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871639641.

Contact Information

Roberta Kornblum, RN
3034 Ne M L King Blvd,
Portland, OR 97212-3053
(503) 283-3763
Not Available

Map and Direction




Provider's Profile

Full NameRoberta Kornblum
GenderFemale
SpecialityRegistered Nurse
Location3034 Ne M L King Blvd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871639641
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 07/02/2008

Medical Identifiers

Medical identifiers for Roberta Kornblum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871639641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 086006572RN (Oregon)Primary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roberta Kornblum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roberta Kornblum, RN
13333 S Glenn Dr,
Mulino, OR 97042-9635

Ph: () -
Roberta Kornblum, RN
3034 Ne M L King Blvd,
Portland, OR 97212-3053

Ph: (503) 283-3763

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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