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1669607180
JOHN R KOPACEK
PORTLAND, OR
NPI
1669607180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 201260009CRNA)
Enumeration Date
2009-05-28
Last Update Date
2013-03-29
Business Address
-- JOHN R KOPACEK CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
-- JOHN R KOPACEK CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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