| Ko Pro Coaching Llc | |
|
3459 Se Pepperwood Way Hillsboro OR 97123-8664 | |
| (503) 998-6040 | |
| Not Available |
| Full Name | Ko Pro Coaching Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3459 Se Pepperwood Way, Hillsboro, Oregon |
| Authorized Official Name and Position | Kevin Olds (SOLE MEMBER) |
| Authorized Official Contact | 5039986040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko Pro Coaching Llc Po Box 4266 Hillsboro OR 97123-1957 Ph: () - | Ko Pro Coaching Llc 3459 Se Pepperwood Way Hillsboro OR 97123-8664 Ph: (503) 998-6040 |
| NPI Number | 1912778762 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912778762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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