NPI 1629086145

David Martin Koeller, MD

Practitioner Clinical Biochemical Genetics Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-7859
Mailing address: 707 SW Gaines St Metabolic Clinic, Cdrc-P, Portland, OR 97239-2901

Registered specialties (2)

Clinical Biochemical Genetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0202X Licence MD22656 (OR)

Other Medical Genetics providers in Oregon →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD22656 (OR)

Other Pediatrics providers in Oregon →

Registry record

NPI: 1629086145
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 11 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.