Individual
WASHINGTON I KOHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 FIRST ST, LAKE OSWEGO, OR 97034-2328
(503) 636-2300
(503) 635-6682
Mailing address
601 FIRST ST, LAKE OSWEGO, OR 97034-2328
(503) 636-2300
(503) 635-6682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4740
OR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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