JUSTIN CHARLES COOPER

CENTRALIA, WA
NPI1316339385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60640498)
Enumeration Date2015-02-26
Last Update Date2017-02-22
Business Address
-- JUSTIN CHARLES COOPER PA-C
1800 COOKS HILL RD SUITE F
CENTRALIA, WA 98531-9072
Phone number: 360-827-6700
Mailing Address
-- JUSTIN CHARLES COOPER PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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