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NPI Code Detail

MEDICARE: AUDREY KOCH SWEETERMAN CD, P.S.S.

MEDICARE:   AUDREY KOCH SWEETERMAN  CD, P.S.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula108053OR

General Provider Information

NPI Number : 1235844127
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY KOCH SWEETERMAN CD, P.S.S.
Provider Business Mailing Address
First Line : 2975 PEARL ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-3715
Country : US
Telephone Number : 614-256-2667
Fax Number :
Provider Business Practice Location Address
First Line : 2975 PEARL ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-3715
Country : US
Telephone Number : 614-256-2667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2023
Last Update Date : 03/17/2026

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Directions to “ AUDREY KOCH SWEETERMAN CD, P.S.S.” Practice Location

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