| NPI | 1801014311 |
|---|---|
| Doing Business As | COOPER VILLA |
| Entity Type | Organization |
| Authorized Contact | JON HARDER Medicaid Coordinator 503-485-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |