| NPI | 1689025231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY R COPENHAGEN Office Manager 503-572-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150144NP) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-05-12 |