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Individual

DR. RYAN PATRICK KOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3303 SW BOND AVE, SUITE CH10U, PORTLAND, OR 97239-4501
(503) 494-4779
Mailing address
3303 SW BOND AVE, SUITE CH10U, PORTLAND, OR 97239-4501
(503) 494-4779

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
267736
NY
208800000X
Urology Physician
MD172494
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/22/2007
Last updated
06/17/2015
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