Individual
HELEN KOENIGSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
Mailing address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN12440
FL
207W00000X
Ophthalmology Physician
MD157427
OR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD157427
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647838
—
OR
Enumeration date
06/30/2008
Last updated
05/21/2020
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