Individual
JOE KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 KAEN RD FL PSB1, OREGON CITY, OR 97045-4035
(503) 722-6867
(503) 655-8197
Mailing address
2051 KAEN RD FL 1, OREGON CITY, OR 97045-4035
(503) 722-6867
(503) 655-8197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95-04-58
OR
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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