Mieso Koji, - Counselor in Portland, OR

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Mieso Koji, is a Registered Nurse - Psychiatric/mental Health based in Portland, Oregon. Mieso Koji is licensed to practice in Oregon (license number 201042341) and his current practice location is 13317 Se Powell Blvd, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 760-9609.

NPI number for Mieso Koji is 1760890271 and his current mailing address is Po Box 8459, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760890271.

Contact Information

Mieso Koji,
13317 Se Powell Blvd,
Portland, OR 97236-3335
(503) 760-9609
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMieso Koji
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location13317 Se Powell Blvd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760890271
  • Provider Enumeration Date: 07/28/2014
  • Last Update Date: 07/28/2014

Medical Identifiers

Medical identifiers for Mieso Koji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760890271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 201042341 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mieso Koji is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mieso Koji,
Po Box 8459,
Portland, OR 97207-8459

Ph: () -		Mieso Koji,
13317 Se Powell Blvd,
Portland, OR 97236-3335

Ph: (503) 760-9609

Reviews and Comments


Registered Nurse in Portland, OR


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