Cooley, Norvin R

Cooley, Norvin R is an individual health care provider with primary practice located at 610 Jefferson St , Oregon City OR 97045. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooley, Norvin R can be contacted via phone (503) 657-7235.

Contact Information

Primary practice address
610 Jefferson St Oregon City OR 97045
Fax: (503) 657-7676
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0453 Oregon

Profile Details

NPI number 1154479665
LBN Legal business name Cooley, Norvin R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154479665 NPPES
Oregon MEDICAID 224584
Oregon Other 117714

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