Individual
MRS. KARA MARIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2221 OAK ST, FOREST GROVE, OR 97116
(503) 372-6277
(503) 718-7246
Mailing address
PO BOX 3294, HILLSBORO, OR 97123
(503) 372-6277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201143396RN
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
201150171NP
OR
363LA2200X
Adult Health Nurse Practitioner
COA.11762-NP
OH
Other
Enumeration date
08/24/2010
Last updated
11/28/2016
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