Individual
PATRICIA MARIE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
62654 LARKVIEW RD, BEND, OR 97701-9519
(541) 306-4957
Mailing address
62654 LARKVIEW RD, BEND, OR 97701-9519
(541) 306-4957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
092005227LPN
OR
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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