Search › Washington › 101YA0400X
Jaynelle Kopp, SUDP
NPI 1639780620 · on the registry since 2020
Practice
- Address
- 7700 Ne 26th Ave
Vancouver, WA 98665 - Phone
- (360) 397-8228
- Fax
- (360) 353-9440
- Organisation at this address
- Cowlitz Indian Tribe
Cowlitz Indian TribeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington