Individual
MR. BRENT J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD, STE 120, VANCOUVER, WA 98683-4300
(360) 566-4840
(360) 566-4841
Mailing address
16703 SE MCGILLIVRAY BLVD, STE 120, VANCOUVER, WA 98683-4300
(360) 566-4840
(360) 566-4841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60684465
WA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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