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Organization

SENIOR CARE NORTHWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARA MARIE COOPER NP (NURSE PRACTITIONER)
(503) 372-6277
Entity
Organization

Contact information

Practice address
3300 19TH AVE, FOREST GROVE, OR 97116
(503) 372-6277
(503) 718-7246
Mailing address
PO BOX 3294, HILLSBORO, OR 97123
(503) 327-6277
(503) 718-7246

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201150171NP
OR

Other

Enumeration date
09/06/2013
Last updated
11/04/2015
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