Individual
ROB KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 SW 8TH ST, CORVALLIS, OR 97333-4544
(541) 609-0525
Mailing address
223 SW 8TH ST, CORVALLIS, OR 97333-4544
(541) 609-0525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128715
—
OR
Enumeration date
08/09/2018
Last updated
01/13/2024
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