Individual
TERESA S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM61087822
Contact information
Practice address
201 HIGHLAND DR, BUENA, WA 98921-0139
(509) 865-6705
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 204-3098
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910755984
—
WA
Enumeration date
01/06/2021
Last updated
01/06/2021
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