Individual
MARY JO KOSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4422 NE DEVILS LAKE BLVD STE 2, LINCOLN CITY, OR 97367-5000
(541) 265-4196
(541) 994-1882
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0581
(541) 574-6252
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
201610085RN
OR
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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