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Mr. Elwood Ray Koenig, WOODYKOENIGLCSW
Mental Health Counselor in Hermiston, Oregon
NPI 1326256496

Elwood Ray Koenig is a Mental Health Counselor based in Hermiston, OR and is specialized in Mental Health. Elwood Ray Koenig practices in Hermiston, OR and has the professional credentials of WOODYKOENIGLCSW. The NPI Number for Elwood Ray Koenig is 1326256496 and holds a License No. L1262 (Oregon).

The current practice location address for Elwood Ray Koenig is 319 W Locust Ave, Hermiston, OR and can be reached out via phone at 541-567-3363.

Location: 319 W Locust Ave, Hermiston, OR, 97838-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326256496
Provider Name
Elwood Ray Koenig
Credential
WOODYKOENIGLCSW
Provider Entity Type
Individual
Gender
Male
Address
319 W Locust Ave, Hermiston, OR, 97838-3546
Phone Number
541-567-3363
Fax Number
Provider Enumeration Date
05/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83124000 01 OR BCBS REGENCE INSURANCE
institution
Provider Business Practice Location Address Details
Address
319 W Locust Ave
City
Hermiston
State
Oregon
Zip
97838-1734
Phone Number
541-567-3363
Fax Number
person
Provider Business Mailing Address Details
Address
319 W Locust Ave
City
Hermiston
State
Oregon
Zip
97838-1734
Phone Number
541-567-3363
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L1262 (Oregon)
Definition
Definition to come...
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