Cooper, Timothy Allen

Cooper, Timothy Allen is an sole proprietor health care provider with primary practice located at 3331 Sw Hamilton Ct , Portland OR 97239-1256. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooper, Timothy Allen can be contacted via phone (503) 313-9773.

Contact Information

Primary practice address
3331 Sw Hamilton Ct Portland OR 97239-1256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY30767 California

Profile Details

NPI number 1952940520
LBN Legal business name Cooper, Timothy Allen
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2019
Last updated Dec 31st, 2019 - about 6 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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