Individual
MELISSA JANETTE KOPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
470 6TH ST STE B, LAKE OSWEGO, OR 97034-2920
(541) 708-1803
Mailing address
470 6TH ST STE B, LAKE OSWEGO, OR 97034-2920
(541) 708-1803
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC184838
OR
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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