Individual
THOMAS KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(208) 413-8406
Mailing address
91302 N COBURG INDUSTRIAL WAY STE 122, COBURG, OR 97408-9331
(208) 413-8406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA165739
OR
Other
Enumeration date
03/24/2014
Last updated
05/12/2026
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