Individual
DR. CHARLES BERNARD KOCH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1144 WILLAGILLESPIE RD, #31, EUGENE, OR 97401-6722
(541) 485-3333
Mailing address
1144 WILLAGILLESPIE RD, #31, EUGENE, OR 97401
(541) 485-3333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2345
OR
Other
Enumeration date
11/20/2006
Last updated
04/28/2008
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