Individual
DR. CAROLYN COGHILL PISZCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 NW 22ND AVENUE, NORTHUP BLDG.,, SUITE 23, PORTLAND, OR 97210
(503) 413-7529
Mailing address
1050 NW 22ND AVE, NORTHUP BLDG, SUITE 23, PORTLAND, OR 97210
(503) 413-7529
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207V00000X
Obstetrics & Gynecology Physician
133637
CA
207V00000X
Obstetrics & Gynecology Physician
24857
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
MD171024
OR
Other
Enumeration date
01/19/2007
Last updated
02/04/2022
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