ELIZABETH GRACE COOPER

PORTLAND, OR
NPI1063460129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  08456707N6)
Enumeration Date2006-05-04
Last Update Date2007-07-08
Business Address
-- ELIZABETH GRACE COOPER PMHNP
727 W BURNSIDE
PORTLAND, OR 97209
Phone number: 503-228-4533
Mailing Address
-- ELIZABETH GRACE COOPER PMHNP
1925 SE 29TH AVE
PORTLAND, OR 97214-4926
Phone number: 503-228-4533
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