PETER G COPPOLA

PORTLAND, OR
NPI1851355044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  60861)
Enumeration Date2006-04-14
Last Update Date2018-12-29
Business Address
Mr. PETER G COPPOLA P. T.
6504 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-893-8987
Mailing Address
Mr. PETER G COPPOLA P. T.
3024 NE 67TH AVE
PORTLAND, OR 97213-5204
Phone number: 503-893-8987
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