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Individual

DR. JEFFREY LEE KOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD22441
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD22441
OR
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD22441
OR
208000000X
Pediatrics Physician
MD22441
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
289533
OR
Enumeration date
06/28/2006
Last updated
01/13/2015
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