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Connie Koczur
NPI 1700178134 · on the registry since 2011 · sole proprietor
Practice
- Address
- 12113 Golf Ln Se
Sublimity, OR 97385 - Phone
- (503) 910-8663
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 374U00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-25
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