IndividualActive
David Koeller, MD
NPI 1629086145 · Clinical Biochemical Genetics Physician · Portland, OR
Provider details
- NPI number
- 1629086145
- Entity type
- Individual
- Primary specialty
- Clinical Biochemical Genetics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD22656 (OR)
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7859
Mailing address
707 Sw Gaines St
Portland, OR 97239-2901
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.