Individual
EECOLE COPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8792
Mailing address
3943 SE MADISON ST, PORTLAND, OR 97214-4421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
792
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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