Individual
DR. JOSHUA DYLAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, LMT, CA
Contact information
Practice address
19206 SE 1ST ST STE 118, CAMAS, WA 98607-7478
(360) 433-9809
(360) 433-9809
Mailing address
19206 SE 1ST ST STE 118, CAMAS, WA 98607-7478
(360) 433-9016
(360) 433-9809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60883035
WA
225700000X
Massage Therapist
19927
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225536279
—
WA
Enumeration date
01/24/2018
Last updated
09/26/2018
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