Cooper, Brant L.

Cooper, Brant L. is an individual health care provider with primary practice located at 590 Country Club Pkwy Ste. B, Eugene OR 97401-6025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cooper, Brant L. can be contacted via phone (541) 485-2777.

Contact Information

Primary practice address
590 Country Club Pkwy Ste. B Eugene OR 97401-6025
Fax: (541) 246-2353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD22600 Oregon

Profile Details

NPI number 1124090865
LBN Legal business name Cooper, Brant L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 1st, 2023 - about 2 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 1124090865 NPPES
Oregon MEDICAID 288380

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