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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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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