SearchOregon363L00000X

Alice Koech, A-GNP-C

NPI 1669105656 · on the registry since 2022 · sole proprietor

Practice

Address
1700 Nw Garden Valley Blvd Ste 201
Roseburg, OR 97471
Phone
(541) 464-0788
Organisation at this address
Nisha Jackson Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2200X
363LG0600X
363LP2300X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon