Individual provider · Type 1 NPI

Dianne K. Koenig, PA

Medical Physician Assistant · Mcminnville, OR

NPI number 1710040076 Active

Practice location

2435 NE Cumulus Ave Ste A
Mcminnville, OR 97128-8862

Call (503) 472-6161 Map

Fax (503) 434-6290

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00605 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1710040076

Dianne K. Koenig, PA's National Provider Identifier is 1710040076, issued on Dec 18, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mcminnville, OR. The record was last updated on Jan 9, 2013.