Individual provider · Type 1 NPI
Thomas William Konowalchuk, MD, JD
General Practice Physician · Newport, OR
NPI number
1679856439
Active
Practice location
1070 NE 7th Dr
Newport, OR 97365-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician | 208800000X | 15049 (OR) |
| General Practice Physician Primary | 208D00000X | 15049 (OR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1679856439
Thomas William Konowalchuk, MD, JD's National Provider Identifier is 1679856439, issued on Sep 27, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Newport, OR. The record was last updated on Jul 23, 2020.