Individual
MRS. ANN CHARISE LUCIANO COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
405 NE 5TH ST, GRESHAM, OR 97030-7345
(503) 666-5600
Mailing address
18176 MEADOW AVE, SANDY, OR 97055-6821
(541) 264-0285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1073508
OR
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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