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Organization

CHRISTOPHER D KOONING, DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER KOONING DMD (OWNER)
(503) 675-4594
Entity
Organization

Contact information

Practice address
15962 BOONES FERRY RD STE 105, LAKE OSWEGO, OR 97035-4359
(503) 675-4594
Mailing address
15962 BOONES FERRY RD STE 105, LAKE OSWEGO, OR 97035-4359
(503) 675-4594

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D9420
OR

Other

Enumeration date
01/02/2018
Last updated
01/02/2018
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