Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theresa Marie Koppie, MD

Individual provider Urology Physician · NPI 1881794352

Dr. Theresa Marie Koppie, MD is an Urology in Portland, Oregon. Graduated from University of Southern California Keck School of Medicine in 1997, 29 years ago. Practices with Centennial Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California, New York and Oregon.

Years since qualifying
29
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, NY, OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3303 SW Bond Ave
Portland, OR 97239-4501
Phone: (503) 346-1500
Fax: (503) 346-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A068661 (CA)
Urology Physician Taxonomy 208800000X · Licence 2289321 (NY)
Urology Physician Taxonomy 208800000X · Licence 154558 (OR)

Record details

NPI number1881794352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 31, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Centennial Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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