Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurel Katherine Hallock Koppelman, FNP-C

Individual provider Family Nurse Practitioner · NPI 1942623764

Laurel Katherine Hallock Koppelman, FNP-C is a Nurse Practitioner in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2013, 13 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2014
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

12720 SE Division St
Portland, OR 97236
Phone: (503) 988-3601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201392556 (OR)

Record details

NPI number1942623764
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2014
Last updated in NPPESApril 23, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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