Dr. THERESA MARIE KOPPIE -- MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1881794352- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3303 SW BOND AVE, PORTLAND, OR, 972394501
- Phone
- (503) 346-1500
- Fax
- (503) 346-1501
Specialties & Taxonomies
Urology
Primary License: CA #A068661
Urology
License: NY #2289321
Urology
License: OR #154558