Koenraad De Geest MD

NPI 1093702862 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1093702862
Gender Male
Enumeration Date 10/05/2005
Last Updated 06/27/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
MC:L466
PORTLAND OR, 97239-3011, US
Phone (503) 494-0577
Fax (503) 494-2391
Business Location
3181 SW SAM JACKSON PARK RD
MC:L466
PORTLAND OR, 97239-3011, US
Phone (503) 494-0577
Fax (503) 494-2391
Toxanomy
Taxonomy Code 207V00000X
License State Oregon
License Number MD162819
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According to our database, Koenraad De Geest MD NPI is 1093702862, taxonomy code is 207V00000X and license number is MD162819, license state is located at Oregon. Koenraad De Geest MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Koenraad De Geest MD has the Individual type.

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1093702862 NPI number is provided on an as is basis without warranty of any kind. 1093702862 is maintained by the National Plan & Provider Enumeration System. The contents of Koenraad De Geest MD are for informational purposes only.