Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE J MENGDEN KOON, M.D.
ActiveDR. STEPHANIE J MENGDEN KOON, M.D. is a Dermatopathology healthcare provider located in TIGARD, Oregon. NPI 1780667527 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · TIGARD, OR
Registration Details
- NPI Number
- 1780667527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2005 (20.730756327296 yrs)
- Last Updated
- Nov 2, 2010
- Licenses
-
MD28731 (OR)MD28731 (OR)
Practice Information
- Address
-
12254 SW GARDEN PLTIGARD, OR, 972238246Browse OR providers · Browse ZIP 97223
- Phone
- 5039067300
- Fax
- 5032458219
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatology
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.