Individual provider · Type 1 NPI

Anthony Koch, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Dallas, OR

NPI number 1821676669 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Fax (503) 623-2731

Mailing address

6923 Gibson Rd
Canfield, OH 44406-8653

Other practice locations

  • 199 Oak St, Pembroke, MA 02359-1953 · (781) 829-7000
  • 1019 112th St SW, Everett, WA 98204-4875 · (425) 551-6200
  • 6923 Gibson Rd, Canfield, OH 44406-8653 · (330) 398-1132
  • 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 · (805) 781-4768
  • 145 S Worthen St, Wenatchee, WA 98801-3081 · (509) 965-7100

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP61289252 (WA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X0029697 (OH)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X10009669 (OR)
Psychiatric/Mental Health Registered Nurse 163WP0808XRN61287688 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNPF95024532 (CA)
Registered Nurse 163W00000XRN.445266 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1821676669

Anthony Koch, PMHNP's National Provider Identifier is 1821676669, issued on Apr 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, OR. The record was last updated on Mar 19, 2026.