Organization
POHALA CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY R COPENHAGEN (OFFICE MANAGER)
(503) 572-4196
Entity
Organization
Contact information
Practice address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(503) 572-4196
(855) 420-5847
Mailing address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(503) 572-4196
(855) 420-5847
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
OR
363LF0000X
Family Nurse Practitioner
Primary
200150144NP
OR
Other
Enumeration date
06/24/2016
Last updated
05/12/2017
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