Individual
DR. MATTHEW GOODALL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.S.
Contact information
Practice address
4001 MAIN ST, SUITE 300, VANCOUVER, WA 98663-1887
(360) 693-3030
(360) 828-1305
Mailing address
4001 MAIN ST, SUITE 300, VANCOUVER, WA 98663-1887
(360) 693-3030
(360) 828-1305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
27 3617
OR
111N00000X
Chiropractor
Primary
CH00034562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206449
LABOR AND INDUSTRIES
WA
Enumeration date
09/06/2006
Last updated
02/10/2014
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