| NPI | 1447685631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MARIE COOPER Nurse Practitioner 503-372-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201150171NP) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2015-11-04 |