Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS WILLIAM KONOWALCHUK, MD, JD
Active Sole ProprietorDR. THOMAS WILLIAM KONOWALCHUK, MD, JD is a General Practice healthcare provider located in NEWPORT, Oregon. NPI 1679856439 is currently active in the NPPES registry. Verify at CMS.
General Practice · NEWPORT, OR
Registration Details
- NPI Number
- 1679856439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2011 (14.854752341269 yrs)
- Last Updated
- Jul 23, 2020
- Licenses
-
15049 (OR)15049 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1070 NE 7TH DRNEWPORT, OR, 973652518Browse OR providers · Browse ZIP 97365
- Phone
- 5412653804
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.