Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Koch, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821676669

Anthony Koch, PMHNP is a Nurse Practitioner in Dallas, Oregon. Qualified in 2021, 5 years ago. Practices with County of Polk, a 9-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Ohio, Oregon and Washington.

Years since qualifying
5
Licensed in
CA, OH, OR, WA
In the registry since
2021
Specialties on file
6
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

182 SW Academy St
Dallas, OR 97338-1996
Phone: (503) 623-9289
Fax: (503) 623-2731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 — (805) 781-4768
  • 199 Oak St, Pembroke, MA 02359-1953 — (781) 829-7000
  • 6923 Gibson Rd, Canfield, OH 44406-8653 — (330) 398-1132
  • 1019 112th St Sw, Everett, WA 98204-4875 — (425) 551-6200
  • 145 S Worthen St, Wenatchee, WA 98801-3081 — (509) 965-7100

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NPF95024532 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61289252 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0029697 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10009669 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN61287688 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN.445266 (OH)

Record details

NPI number1821676669
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address6923 Gibson Rd, Canfield, OH 44406-8653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice County Of Polk — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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