Individual
CHRISTOPHER NEAL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
61615 ATHLETIC CLUB DR, ATHLETIC CLUB OF BEND, BEND, OR 97702-3124
(541) 382-7890
(541) 382-7498
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229152
—
OR
Enumeration date
12/02/2005
Last updated
11/01/2012
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