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NPI Code Detail

MEDICARE: LIANG-CHIEH KO

MEDICARE:   LIANG-CHIEH  KO
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
1213E00000XPodiatristSC006951PA

General Provider Information

NPI Number : 1417443409
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANG-CHIEH KO
Provider Business Mailing Address
First Line : 410 N VILLA RD
Second Line :
City : NEWBERG
State : OR
Zip : 97132-1853
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 N VILLA RD
Second Line :
City : NEWBERG
State : OR
Zip : 97132-1853
Country : US
Telephone Number : 503-538-0466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 05/15/2026

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Directions to “ LIANG-CHIEH KO ” Practice Location

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