Provider Demographics
NPI:1093862674
Name:KOENIG, MARGARET LEE (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LEE
Last Name:KOENIG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 POST CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-8731
Mailing Address - Country:US
Mailing Address - Phone:541-806-2494
Mailing Address - Fax:360-844-5184
Practice Address - Street 1:708 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1720
Practice Address - Country:US
Practice Address - Phone:541-386-2405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1347103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR008503000OtherREGENCE BCBS
ORY838301OtherPACIFIC SOURCE
OR193165OtherMANAGED HEALTH NETWORK