Laurel K Hallock Koppelman (NPI# 1942623764, PAC ID# 5395960033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1942623764 |
| PAC ID by PECOS | 5395960033 |
| Professional Enrollment ID | I20140714000426 |
| Full Name | Laurel K Hallock Koppelman |
| Organization Legal Name | OREGON HEALTH AND SCIENCE UNIVERSITY |
| Address |
4212 Se Division St Suite 150 Portland OR 97206-1681 |
| Phone Number | 5034181500 |
| Gender | F |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759328842 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4212 Se Division St, Suite 150, Portland, OR 97206-1681 | 5034181500 | OREGON HEALTH AND SCIENCE UNIVERSITY |
| Organization Legal Name | OREGON HEALTH AND SCIENCE UNIVERSITY |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter W Morita | Oral Surgery | Oregon Health and Science University | 611 Swcampus Dr, Portland, OR 97239-3001 |
| Jeffery Wise | Nurse Practitioner | Oregon Health and Science University | 3930 Se Division St, Portland, OR 97202-1643 |
| Toy Lim | Nurse Practitioner | Oregon Health and Science University | 4212 Se Division St, Suite 150, Portland, OR 97206-1681 |
| Brigit A Hatch | Family Medicine | Oregon Health and Science University | 546 Ne 12th Ave, Rm 126, Portland, OR 97232-2719 |
| Joe M Skariah | Family Medicine | Oregon Health and Science University | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 |
| Ashley Atwood | Physician Assistant | Oregon Health and Science University | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 |
| Jeanene A Smith | Family Medicine | Oregon Health and Science University | 3930 Se Division St, Portland, OR 97202-1643 |
| Richard W. Moberly | Family Medicine | Oregon Health and Science University | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 |
| Christopher I Michel | Physician Assistant | Oregon Health and Science University | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 |
| Jennifer Schlobohm | Clinical Social Worker | Oregon Health and Science University | 3930 Se Division St, Portland, OR 97202-1643 |
| Street Address |
4212 SE DIVISION ST SUITE 150 |
| City | PORTLAND |
| State | OR |
| Zip | 97206-1681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toy Lim | Nurse Practitioner | Oregon Health and Science University | 4212 Se Division St, Suite 150, Portland, OR 97206-1681 |
| Cherry C Pisigan | Nurse Practitioner | Oregon Health and Science University | 4212 Se Division St, Suite 150, Portland, OR 97206-1681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis D Lessard Templin | Clinical Social Worker | 6510 Se Foster, Suite F, Portland, OR 97206 | |
| Christine R Gebhardt | Optometry | 5935 Se Division, Portland, OR 97206-1470 | |
| Israel A Sostrin | Physical Therapy | 5909 Se Division St, Suite 3, Portland, OR 97206-1470 | |
| Alyssa G Torby | Psychiatry | Cascadia Behavioral Healthcare, Inc | 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1666 |
| Honey E Marques | Physician Assistant | Columbia Medical Clinic PC | 8122 Se Tibbetts St, Portland, OR 97206-1768 |
| Matthew W Shook | Family Medicine | Columbia Medical Clinic PC | 8122 Se Tibbetts St, Portland, OR 97206-1768 |
| Katherine L Molyneux | Physician Assistant | Columbia Medical Clinic PC | 8122 Se Tibbetts St, Portland, OR 97206-1768 |
| Lynne M Nguyen | Physician Assistant | Columbia Medical Clinic PC | 8122 Se Tibbetts St, Portland, OR 97206-1768 |
| Mimi M Hughes | Physician Assistant | Columbia Medical Clinic PC | 8122 Se Tibbetts St, Portland, OR 97206-1768 |
| Tam Hoai Nguyen | Optometry | Portland Eye Clinic LLC | 8001 Se Powell Blvd L, Portland, OR 97206-2300 |
| Find all physicians in zip 97206 | |||
| City | PORTLAND |
| Zip Code | 97206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laurel K Hallock Koppelman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.