Individual
DR. JAMES MICHAEL KONIECZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9900 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9310
(503) 652-2880
Mailing address
9900 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9310
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
OR DP00249
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
WA PO00000597
WA
Other
Enumeration date
09/27/2006
Last updated
07/10/2007
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