LAUREL KATHERINE HALLOCK KOPPELMAN

PORTLAND, OR
NPI1942623764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201392556)
Enumeration Date2014-01-30
Last Update Date2014-04-23
Business Address
-- LAUREL KATHERINE HALLOCK KOPPELMAN FNP-C
12720 SE DIVISION STREET
PORTLAND, OR 97236
Phone number: 503-988-3601
Mailing Address
-- LAUREL KATHERINE HALLOCK KOPPELMAN FNP-C
421 SW OAK ST STE. 210
PORTLAND, OR 97204-1817
Phone number: 503-988-7468
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