Individual
MR. JAMES MARSHALL COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1035 NE KILLINGSWORTH ST, PORTLAND, OR 97211-4342
(541) 908-6189
Mailing address
1035 NE KILLINGSWORTH ST, PORTLAND, OR 97211-4342
(541) 908-6189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201241654RN
OR
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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