JACLYN CHRISTINE KOPALEK LPN
NPI 1366137986
Licensed Practical Nurse in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 10, 2023

6601 NE 78TH CT STE A3, PORTLAND, OR 97218(503) 252-3949(503) 252-4027 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
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Individual
Female
Licensed Practical Nurse

About JACLYN KOPALEK

This page provides the complete NPI Profile along with additional information for Jaclyn Kopalek, a provider established in Portland, Oregon with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1366137986 assigned on April 2023. The practitioner's primary taxonomy code is 164W00000X with license number 10004279 (OR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1366137986 Verify this NPI
Provider Name: JACLYN CHRISTINE KOPALEK LPN
Gender: Female
Entity Type: Individual
Location Address: 6601 NE 78TH CT STE A3 PORTLAND, OR 97218
Location Phone: (503) 252-3949
Location Fax: (503) 252-4027
Mailing Address: 6601 NE 78TH CT STE A3 PORTLAND, OR 97218
Mailing Phone: (503) 252-3949
Mailing Fax: (503) 252-4027
Is Sole Proprietor?: No
Enumeration Date: 04-10-2023
Last Update Date: 04-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: 10004279
License State: OR
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.