# KOBERNIK OSTEOPATHY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Osteopathy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265092928
- **Authorized official:** MRS. BETH DAWN KOBERNIK (ADMINISTRATOR)
- **Authorized official phone:** (253) 225-7248

## Contact information

- **Practice address:** 10503 GUTHRIE RD, ANDERSON ISLAND, WA 98303-9753
- **Practice address phone:** (253) 225-7248
- **Mailing address:** 10503 GUTHRIE RD, ANDERSON ISLAND, WA 98303-9753
- **Mailing address phone:** (253) 225-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2019
- **Last updated:** 06/17/2019