Individual
TONYA ASHLEY KOONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(678) 386-8756
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006094
GA
363A00000X
Physician Assistant
PA189982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109689A
—
GA
Enumeration date
05/12/2011
Last updated
09/10/2025
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