Search › Oregon › 171100000X
Forrest Cooper, LAC
NPI 1710072426 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5923 Se Foster Rd
Portland, OR 97206 - Phone
- (503) 901-0912
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon