Search › Oregon › 101YA0400X
David Cooper, LCDC III
NPI 1215329883 · on the registry since 2015
Practice
- Address
- 10564 Se Washington St
Portland, OR 97216 - Phone
- (503) 235-8655
- Organisation at this address
- Volunteers Of America
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 95
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- OH, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-16
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 Oregon