Most Relevant Information
Provider Data
| NPI Number: | 1003175332 |
| Provider Name: | EVELYN REESE ACOPAN MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2012 |
| Last Updated: | 09/04/2013 |
Provider Practice Location
10373 NE HANCOCK ST STE 200
PORTLAND
OR
972203873
Practice Location Phone/Fax
| Phone: | 5032536754 |
| Fax: | 5032538020 |
Provider Mailing Location
PO BOX 8459
PORTLAND
OR
972078459
Provider Mailing Phone/Fax
| Phone: | 5032380769 |
| Fax: |