Individual
TONYA I KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550087NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00411294
RAILROAD MEDICARE
OR
05
—
027716
—
OR
Enumeration date
10/11/2006
Last updated
04/06/2021
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