Individual
MRS. JOAN DI BROGROZCIO KONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNS
Contact information
Practice address
707 SW GAINES ST, MAIL CODE: CDRC-P, PORTLAND, OR 97239-2901
(503) 494-3433
(503) 494-1933
Mailing address
707 SW GAINES ST, MAIL CODE: CDRC-P, PORTLAND, OR 97239
(503) 494-3433
(503) 494-1933
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
200170043
OR
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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