Individual
JONAH SAMUEL KOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
20354 EMPIRE AVE STE D4, BEND, OR 97703-5710
(503) 610-9281
Mailing address
20354 EMPIRE AVE STE D4, BEND, OR 97703-5710
(503) 610-9281
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
64202
OR
Other
Enumeration date
08/18/2021
Last updated
03/06/2025
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