IndividualActive
Alice Koech, A-GNP-C
NPI 1669105656 · Nurse Practitioner · Roseburg, OR
Provider details
- NPI number
- 1669105656
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- A-GNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP61327739 (WA)
Practice location
1700 Nw Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Phone: (541) 464-0788
Mailing address
1117 W Young St
Elma, WA 98541-9090
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.