| Annette Louise Koski | |
|
65 Se Goodfellow St Ontario OR 97914-3016 | |
| (541) 889-6288 | |
| Not Available |
| Full Name | Annette Louise Koski |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 65 Se Goodfellow St, Ontario, Oregon |
| Authorized Official Name and Position | Annette Louise Koski (RPH/PHARMACIST) |
| Authorized Official Contact | 4062149691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Louise Koski Po Box 313 Ontario OR 97914-0313 Ph: (406) 214-9691 | Annette Louise Koski 65 Se Goodfellow St Ontario OR 97914-3016 Ph: (541) 889-6288 |
| NPI Number | 1245608819 |
|---|---|
| Provider Enumeration Date | 09/12/2015 |
| Last Update Date | 09/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245608819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 0014873 (Oregon) | Primary |
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