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1710072426
FORREST COOPER
PORTLAND, OR
NPI
1710072426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00532)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. FORREST COOPER LAc.
5923 SE FOSTER RD
PORTLAND, OR 97206-3734
Phone number: 503-901-0912
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Mailing Address
Mr. FORREST COOPER LAc.
5923 SE FOSTER RD
PORTLAND, OR 97206-3734
Phone number: 503-901-0912
Copy
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