Individual
DR. MATTHEW C. KOOPMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7593
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7593
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD178103
OR
2086S0129X
Vascular Surgery Physician
Primary
MD178103
OR
Other
Enumeration date
05/05/2006
Last updated
10/12/2016
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