Individual
JOHN JOSEPH KOCHANSKI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 EXCHANGE ST STE 111, ASTORIA, OR 97103-3366
(503) 325-0333
(503) 325-6333
Mailing address
2120 EXCHANGE ST STE 111, ASTORIA, OR 97103-3366
(503) 325-0333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA213842
OR
Other
Enumeration date
10/31/2022
Last updated
04/27/2023
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