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Judy M. Koski, RN

Registered Nurse, Community Health in Portland, OR. Individual provider (NPI-1).

NPI number1265782833
StatusActive
Last updated in NPPESSep 11, 2012

Details

NPI
1265782833
Entity type
Individual (NPI-1)
Name
Miss Judy M. Koski
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2012
Last updated
Sep 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC1500X Registered Nurse, Community Health082023201RNORYes

Practice location

17727 E Burnside St
Portland, OR 97233-4803

Phone 503-215-9800

Mailing address

17727 E Burnside St
Portland, OR 97233-4803

Phone 503-215-9800

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