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Individual

JAMES R KOPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1902 4TH ST STE 3, LA GRANDE, OR 97850-2558
(541) 963-9843
(541) 963-8746
Mailing address
1902 4TH ST STE 3, LA GRANDE, OR 97850-2558
(541) 963-9843
(541) 963-8746

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09796
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022801000
BCBSO
OR
05
281394
OR
Enumeration date
09/27/2006
Last updated
06/16/2014
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