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Cooper Baumgardt
NPI 1740150234 · on the registry since 2025 · sole proprietor
Practice
- Address
- 419 22nd Ave
Lewiston, ID 83501 - Phone
- (208) 816-6078
- Organisation at this address
- Northwest Children'S Home
Northwest Children'S Home
Northwest Children'S HomeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2025-12-29
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 Idaho