Young Cooper, Jacqueline Lynn

Young Cooper, Jacqueline Lynn is an individual health care provider with primary practice located at 1046 6Th Ave Sw , Albany OR 97321-1916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Young Cooper, Jacqueline Lynn can be contacted via phone (541) 812-4000.

Contact Information

Primary practice address
1046 6Th Ave Sw Albany OR 97321-1916
Phone: (541) 812-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036123626 Illinois
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD60299784 Washington
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD156781 Oregon

Profile Details

NPI number 1275706608
LBN Legal business name Young Cooper, Jacqueline Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Jan 31st, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275706608 NPPES
Illinois MEDICAID 036123626

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