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Ms. Aimee Kodiaq, FNP
Family Nurse Practitioner in Roseburg, Oregon
NPI 1760517098

Aimee Kodiaq is a Family Nurse Practitioner based in Coos Bay, OR and is specialized in Family. Aimee Kodiaq practices in Roseburg, OR and has the professional credentials of FNP. The NPI Number for Aimee Kodiaq is 1760517098 and holds a License No. 4984 (Oregon).

The current practice location address for Aimee Kodiaq is 913 Nw Garden Valley Blvd, Roseburg, OR and can be reached out via phone at 541-440-1000.

Location: 913 Nw Garden Valley Blvd, Roseburg, OR, 97420-1981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760517098
Provider Name
Aimee Kodiaq
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
913 Nw Garden Valley Blvd, Roseburg, OR, 97420-1981
Phone Number
541-440-1000
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
913 Nw Garden Valley Blvd
City
Roseburg
State
Oregon
Zip
97471-6523
Phone Number
541-440-1000
Fax Number
person
Provider Business Mailing Address Details
Address
913 Nw Garden Valley Blvd
City
Roseburg
State
Oregon
Zip
97471-6523
Phone Number
541-440-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4984 (Colorado)
Definition
Definition to come...
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