Individual
CHAD A COOPER-SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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