Individual
SHANNA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP-CN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
31004
CA
103G00000X
Clinical Neuropsychologist
Primary
3482
OR
103TF0200X
Forensic Psychologist
3482
OR
Other
Enumeration date
05/07/2018
Last updated
08/29/2025
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