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Individual

RICHARD WESLEY KOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
22142 SE 237TH ST., SUITE #8, MAPLE VALLEY, WA 98038-6405
(425) 433-6073
(425) 433-6074
Mailing address
22142 SE 237TH ST., SUITE #8, MAPLE VALLEY, WA 98038-6405
(425) 433-6073
(425) 433-6074

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP000989
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125824
LABOR & INDUSTRIES
WA
Enumeration date
01/19/2007
Last updated
12/28/2011
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