Cooper, Jennifer R
Cooper, Jennifer R is an individual health care provider with primary practice located at 833 Nw Buchanan Ave # 10 , Corvallis OR 97330-6217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Cooper, Jennifer R can be contacted via phone (541) 738-4433.Contact Information
Primary practice address
833 Nw Buchanan Ave # 10
Corvallis OR 97330-6217
Phone: (541) 738-4433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1835 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00003510 | Washington |
Profile Details
NPI number | 1760409254 |
---|---|
LBN Legal business name | Cooper, Jennifer R |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Nov 5th, 2007 - about 18 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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