LAUREL K HALLOCK KOPPELMAN

OREGON HEALTH AND SCIENCE UNIVERSITY

Dr LAUREL K HALLOCK KOPPELMAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013 from Oregon Health Sciences University School Of Medicine.

Contact

OREGON HEALTH AND SCIENCE UNIVERSITY

4212 SE DIVISION ST
SUITE 150
PORTLAND
OR
972061681

Tel: 5034181500

LAUREL K HALLOCK KOPPELMAN Information

Npi 1942623764
Pac Id 5395960033
Professional Enrollment Id I20140714000426
Last Name HALLOCK KOPPELMAN
First Name LAUREL
Middle Name K
Suffix
Gender F
Credential
Medical School Name OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OREGON HEALTH AND SCIENCE UNIVERSITY
Group Practice Pac Id 1759328842
Number Of Group Practice Members 51
Line 1 Street Address 4212 SE DIVISION ST
Line 2 Street Address SUITE 150
Marker Of Address Line 2 Suppression
City PORTLAND
State OR
Zip Code 972061681
Phone Number 5034181500
Hospital Affiliation Ccn 1 380009
Hospital Affiliation Lbn 1 OHSU HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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