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NPI Code Detail

MEDICARE: EMILY COOPER

MEDICARE: EMILY COOPER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse201604799RNOR

General Provider Information

NPI Number : 1154277275
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY COOPER
Provider Business Mailing Address
First Line : 423 NE 14TH PL
Second Line :
City : CANBY
State : OR
Zip : 97013-2965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3710 SW US VETERANS HOSPITAL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-2964
Country : US
Telephone Number : 503-220-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ EMILY COOPER ” Practice Location

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