Individual
VALERIE RENEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 580-1148
Mailing address
1470 W TARRAGON DR, ROSEBURG, OR 97471-7739
(541) 580-1148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202009566NP-PP
OR
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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