Individual provider · Type 1 NPI

Da Young Ko, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1235773425 Active

Practice location

3181 SW Sam Jackson Rd
Portland, OR 97239-9723

Call (503) 494-8311 Map

Mailing address

3181 SW Sam Jackson Rd
Portland, OR 97219

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235773425

Da Young Ko, MD's National Provider Identifier is 1235773425, issued on Oct 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2019.