Dr. Matthew C. Koopmann, M.D.
in Portland, OR. Individual provider (NPI-1).
NPI number1083662647
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1083662647
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew C. Koopmann
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | MD178103 | OR | Yes | |
| 208600000X | Surgery | MD178103 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7593
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7593
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