Individual
MICHELLE COPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 962-1101
Mailing address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 962-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0094000241RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10006630
OR
Other
Enumeration date
06/07/2013
Last updated
04/25/2023
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