Cooper, Shanna

Cooper, Shanna is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Cooper, Shanna can be contacted via phone (503) 494-6176.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 31004 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31004 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3482 Oregon

Profile Details

NPI number 1063901882
LBN Legal business name Cooper, Shanna
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated Oct 4th, 2022 - about 3 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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