Individual
TAMI R KOCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200650042NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278631
—
OR
01
—
R188170
PTAN
—
Enumeration date
10/24/2006
Last updated
09/02/2016
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