Individual
BRENDA KAY KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16865 BOONES FERRY RD, LAKE OSWEGO, OR 97035-5280
(503) 699-6464
Mailing address
16865 BOONES FERRY RD, LAKE OSWEGO, OR 97035-5280
(503) 699-6464
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
201800534
OR
163WG0000X
General Practice Registered Nurse
Primary
201800534RN
OR
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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