Individual
KAILEY ANN KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3150 SE BELMONT ST, PORTLAND, OR 97214-4029
(503) 389-5545
Mailing address
6910 NE PACIFIC ST, PORTLAND, OR 97213-5449
(845) 687-7929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6211
OR
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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