Individual
ROGINA RAYANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 SE AVONDALE WAY, GRESHAM, OR 97080-8437
(971) 344-7911
Mailing address
220 SE AVONDALE WAY, GRESHAM, OR 97080-8437
(971) 344-7911
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
185994994
OR
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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