Provider Demographics
NPI:1437448537
Name:KONO, JOAN DI BROGROZCIO (RN CNS)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:DI BROGROZCIO
Last Name:KONO
Suffix:
Gender:F
Credentials:RN CNS
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Mailing Address - Street 1:707 SW GAINES ST
Mailing Address - Street 2:MAIL CODE: CDRC-P
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-3433
Mailing Address - Fax:503-494-1933
Practice Address - Street 1:707 SW GAINES ST
Practice Address - Street 2:MAIL CODE: CDRC-P
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2901
Practice Address - Country:US
Practice Address - Phone:503-494-3433
Practice Address - Fax:503-494-1933
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR200170043364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist