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1619790391
KELLY JEAN KOCH
PORTLAND, OR
NPI
1619790391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 10018499)
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
KELLY JEAN KOCH RN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
KELLY JEAN KOCH RN
650 S GAINES ST APT 511
PORTLAND, OR 97239-4767
Phone number: 503-403-8393
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