Individual provider · Type 1 NPI

Theresa Marie Koppie, MD

Urology Physician · Portland, OR

NPI number 1881794352 Active

Practice location

3303 SW Bond Ave
Portland, OR 97239-4501

Fax (503) 346-1501

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XA068661 (CA)
Urology Physician 208800000X2289321 (NY)
Urology Physician 208800000X154558 (OR)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1881794352

Theresa Marie Koppie, MD's National Provider Identifier is 1881794352, issued on Sep 25, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2011.