Individual
DR. JACQUELINE LYNN YOUNG COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036123626
IL
207VX0000X
Obstetrics Physician
Primary
MD156781
OR
207VX0000X
Obstetrics Physician
MD60299784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123626
—
IL
Enumeration date
04/07/2008
Last updated
01/31/2024
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