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Individual

MS. FAITH L. KOSCHMANN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(503) 845-2000
(503) 845-2384
Mailing address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(503) 845-2000
(503) 845-2384

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25901
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027907
OR
Enumeration date
05/03/2006
Last updated
07/08/2007
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