Individual
DR. THOMAS WILLIAM KONOWALCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
1070 NE 7TH DR, NEWPORT, OR 97365-2518
(541) 265-3804
Mailing address
1070 NE 7TH DR, NEWPORT, OR 97365-2518
(541) 265-3804
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
15049
OR
208D00000X
General Practice Physician
Primary
15049
OR
Other
Enumeration date
09/27/2011
Last updated
07/23/2020
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