person
Mieso Koji
Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1760890271

Mieso Koji is a Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health. Mieso Koji practices in Portland, OR. The NPI Number for Mieso Koji is 1760890271 and holds a License No. (Oregon).

The current practice location address for Mieso Koji is 13317 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-760-9609.

Location: 13317 Se Powell Blvd, Portland, OR, 97207-8459
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Provider Profile Details
NPI Number
1760890271
Provider Name
Mieso Koji
Credential
Provider Entity Type
Individual
Gender
Male
Address
13317 Se Powell Blvd, Portland, OR, 97207-8459
Phone Number
503-760-9609
Fax Number
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9609
Fax Number
person
Provider Business Mailing Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9609
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
201042341 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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