Individual
MISS JUDY M. KOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
082023201RN
OR
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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