GARY TAYLOR COOPER

SALEM, OR
NPI1497175392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-18
Last Update Date2014-04-18
Business Address
Mr. GARY TAYLOR COOPER BS, CADC-I
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-399-5597
Mailing Address
Mr. GARY TAYLOR COOPER BS, CADC-I
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-399-5597
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