PEYTON OLIVIA KOPPENHAVER

PORTLAND, OR
NPI1104542786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-10-17
Last Update Date2022-10-17
Business Address
PEYTON OLIVIA KOPPENHAVER
4445 S BARBUR BLVD STE 205
PORTLAND, OR 97239-4047
Phone number: 503-768-6325
Mailing Address
PEYTON OLIVIA KOPPENHAVER
4445 S BARBUR BLVD STE 205
PORTLAND, OR 97239-4047
Phone number: