Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA KOLODZIEJCZYK
ActivePhysical Medicine & Rehabilitation · SISTERS, OR
Registration Details
- NPI Number
- 1982317228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2023 (3.341500979212 yrs)
- Last Updated
- Jan 2, 2023
- License
-
64740 (OR)
Practice Information
- Address
-
352 E HOOD AVE STE DSISTERS, OR, 977591619Browse OR providers · Browse ZIP 97759
- Phone
- 5419044427
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.