AIDEN ELLIOT LAWRENCE KOPCHINSKI

PORTLAND, OR
NPI1134643745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18759)
Enumeration Date2017-07-26
Last Update Date2017-07-26
Business Address
AIDEN ELLIOT LAWRENCE KOPCHINSKI LMT
221 SE 11TH AVE STE 226
PORTLAND, OR 97214-1357
Phone number: 503-567-6864
Mailing Address
AIDEN ELLIOT LAWRENCE KOPCHINSKI LMT
9635 N VAN HOUTEN AVE
PORTLAND, OR 97203-1962
Phone number: