DIANA LACY COOPER

BROOKINGS, OR
NPI1548928435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000001068)
Enumeration Date2021-12-08
Last Update Date2021-12-08
Business Address
DIANA LACY COOPER CHW
401 FIR ST
BROOKINGS, OR 97415-9222
Phone number: 541-469-3314
Mailing Address
DIANA LACY COOPER CHW
805 PARADISE LN
BROOKINGS, OR 97415-9725
Phone number: 541-251-2520