Individual
KAROL LEE KOCHSMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
Mailing address
7033 NE EVERETT ST, PORTLAND, OR 97213-5631
(503) 288-1043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00372
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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