Individual
JOHN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 192ND AVE STE 100, CAMAS, WA 98607-7441
(360) 566-4840
Mailing address
720 W MAIN ST, SUITE 115, BATTLE GROUND, WA 98604-4406
(360) 666-3900
(360) 666-3901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60078028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8547762
—
WA
Enumeration date
07/18/2007
Last updated
05/16/2019
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