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Individual

GREGORY JOEL KOSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9427 SW BARNES RD, MOTHER JOSEPH PLAZA, PORTLAND, OR 97225-6652
(503) 203-2040
Mailing address
9427 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6652
(503) 203-2140

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G45853
CA
207X00000X
Orthopaedic Surgery Physician
MD00034566
WA
207X00000X
Orthopaedic Surgery Physician
Primary
MD14566
OR

Other

Enumeration date
08/22/2006
Last updated
07/12/2007
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