Individual
MILAN KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-7555
Mailing address
PO BOX 1422, CLATSKANIE, OR 97016-1422
(503) 380-6451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10328
OR
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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