Individual
DR. BETTYLOU KOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-7352
Mailing address
25 NW 23RD PLACE, #6, PMB 432, PORTLAND, OR 97210-5599
(503) 216-7352
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD20248
OR
Other
Enumeration date
04/18/2007
Last updated
07/11/2007
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