Kimberly H. Copeland
Pediatrician Pediatric Emergency Physician
2121 Ne 139th St Suite 200
Vancouver
, Washington 98686-2316
Kimberly H. Copeland
Pediatrician Pediatric Emergency Physician
2121 Ne 139th St Suite 200
Vancouver
, Washington 98686-2316
(503) 413-3710
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Kimberly H. Copeland
- Po Box 2077
- Portland, OR
- Zip : 97208-2077
- Fax : (503) 413-3710
- Phone : (503) 413-3900
Second Address
- Kimberly H. Copeland
- 2121 Ne 139th St Suite 200
- Vancouver, WA
- Zip : 98686-2316
- Fax : (360) 487-1779
- Phone : (360) 487-1777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | MD21409 | OR |
| Y | 208000000X | Pediatrician | MD00044472 | WA |
National Provider Identifier
| NPI | 1114948668 |
|---|---|
| Provider Name | Kimberly H. Copeland |
| First Address | Portland, OR 97208-2077 |
| Second Address | Vancouver, WA 98686-2316 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 12/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F71022 | (02) | |
| MD00044472 | WA STATE LICENSE (01) | WA |
| PENDING | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.