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NPI Code Detail

MEDICARE: MS. FAITH L. KOSCHMANN M.D.

MEDICARE: MS. FAITH L. KOSCHMANN M.D.
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
1207Q00000XFamily Medicine PhysicianMD25901OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942268354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FAITH L. KOSCHMANN M.D.
Provider Business Mailing Address
First Line : 690 N MAIN ST
Second Line :
City : MOUNT ANGEL
State : OR
Zip : 97362-9518
Country : US
Telephone Number : 503-845-2000
Fax Number : 503-845-2384
Provider Business Practice Location Address
First Line : 690 N MAIN ST
Second Line :
City : MOUNT ANGEL
State : OR
Zip : 97362-9518
Country : US
Telephone Number : 503-845-2000
Fax Number : 503-845-2384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/08/2007

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