Cooper, Russell William
Cooper, Russell William is an individual health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cooper, Russell William can be contacted via phone (541) 826-2111.Contact Information
Primary practice address
8495 Crater Lake Hwy
White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1669406104 |
|---|---|
| LBN Legal business name | Cooper, Russell William |
| Credentials | CTRS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 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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