Connie L Koczur, | |
12113 Golf Ln Se, Sublimity, OR 97385-9707 | |
(503) 910-8663 | |
Not Available |
Full Name | Connie L Koczur |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 12113 Golf Ln Se, Sublimity, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700178134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 17959 (Oregon) | Primary |
374U00000X | Home Health Aide | 795072 (Oregon) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Connie L Koczur, Po Box 558, Sublimity, OR 97385-0558 Ph: (503) 910-8663 | Connie L Koczur, 12113 Golf Ln Se, Sublimity, OR 97385-9707 Ph: (503) 910-8663 |
Mary Windsor, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 S Center St Ste B, Sublimity, OR 97385 Phone: 503-510-0242 | |
Catherine L Fleming, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Nw 4th St, Sublimity, OR 97385 Phone: 503-910-4251 |