Individual
RICHARD J KONKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
3550 NORTH INTERSTATE AVE, MEDICAL OFFICE EAST, PORTLAND, OR 97227-1097
(503) 331-5040
(503) 331-5044
Mailing address
3550 N. INTERSTATE AVE, PORTLAND, OR 97227
(503) 331-5040
(503) 331-5044
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD18039
OR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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