Individual
MARGARET LEE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
708 COLUMBIA ST, HOOD RIVER, OR 97031-1720
(541) 386-2405
Mailing address
4501 POST CANYON DR, HOOD RIVER, OR 97031-8731
(541) 806-2494
(360) 844-5184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1347
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008503000
REGENCE BCBS
OR
01
—
193165
MANAGED HEALTH NETWORK
OR
01
—
Y838301
PACIFIC SOURCE
OR
Enumeration date
01/04/2007
Last updated
07/30/2019
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