Individual
INEZ AVENA COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3810 SE BELMONT ST, PORTLAND, OR 97214-4330
(503) 544-4274
(971) 279-2398
Mailing address
3810 SE BELMONT ST, PORTLAND, OR 97214-4330
(503) 544-4274
(971) 279-2398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156814
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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