Individual
KERI BORDEN KOSZELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-4661
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD203377
OR
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD203377
OR
208000000X
Pediatrics Physician
MD203377
OR
Other
Enumeration date
03/25/2014
Last updated
05/21/2022
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