DIANNE K KOENIG (NPI# 1710040076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710040076 |
| Entity Type | Individual |
| Full Name | DIANNE K KOENIG |
| Credential | PA |
| Practice Address |
2435 Ne Cumulus Ave Ste A Mcminnville OR 97128-8862 |
| Practice Telephone | 5034726161 |
| Practice Fax Number | 5034346290 |
| Mailing Telephone | 5034726161 |
| Mailing Fax Number | 5034346290 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00605 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2435 NE CUMULUS AVE STE A |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-8862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356198 | Stephen B. Inkeles | Internal Medicine | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | 2005-06-17 |
| 1184233876 | Martin Ray Robison | Psychologist | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | 2020-07-28 |
| 1376067371 | Katarina Roberts Friedman | Nurse Practitioner | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | 2017-08-01 |
| 1457706251 | Scott Cochran | Family Medicine | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | 2016-04-29 |
| 1801221692 | Angela Lynne Tramelli | Registered Nurse | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | 2013-09-11 |
| 1871745869 | Sunshine Suzanne John | Physician Assistant | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | 2008-10-21 |
| 1316116189 | Kristie Schmidlkofer | Psychologist | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | 2008-02-26 |
| 1740333053 | Julie Frances Burns | Nurse Practitioner | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | 2007-01-19 |
| 1831240019 | Jennifer G Scott | Dietitian, Registered | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | 2007-01-15 |
| 1336237486 | Patricia J. Haddeland | Nurse Practitioner | 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831433283 | Mcminnville Pain Relief Center | Physician Assistant | 810 Sparta St Ste 4, Mcminnville, TN 37110-2698 | 2012-11-23 |
| 1124500194 | Rachael Crooke | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2018-09-05 |
| 1669983771 | Hannah Mitchell | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-10-16 |
| 1134647621 | Angelia Christine Smith | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.