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1477749836

NPI Code Detail

MEDICARE: SARAH C. COOPER NP

MEDICARE: SARAH C. COOPER NP

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
1	363LA2100X	Acute Care Nurse Practitioner	28191167	IN
2	363L00000X	Nurse Practitioner	71003301	IN
3	363LA2100X	Acute Care Nurse Practitioner	71003301A	IN
4	363LA2100X	Acute Care Nurse Practitioner	RN234191	GA
5	363LA2100X	Acute Care Nurse Practitioner	AP30007701	WA

General Provider Information

NPI Number	:	1477749836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH C. COOPER NP

Provider Business Mailing Address
First Line	:	1501 NE MEDICAL CENTER DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6051
Country	:	US
Telephone Number	:	541-382-2811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NE NEFF RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6015
Country	:	US
Telephone Number	:	541-388-4333
Fax Number	:	541-388-3446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	06/01/2026

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Directions to “ SARAH C. COOPER NP” Practice Location

Language	Start Address	Practice Location

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