Individual
JO KOENIG HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
1135 116TH AVE NE, SUITE 400, BELLEVUE, WA 98004-4623
(206) 987-5770
(206) 987-5779
Mailing address
1135 116TH AVE NE, SUITE 400, BELLEVUE, WA 98004-4623
(206) 987-5770
(206) 987-5779
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195901
LABOR AND INDUSTRIES
WA
05
—
8329286
—
WA
01
—
9713KO
REGENCE BS RIDER #
WA
Enumeration date
07/21/2005
Last updated
03/19/2009
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