Organization
BROOKINGS COMMUNITY RESOURCE RESPONSE
Active
Other names
Brookings CORE Response
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA COOPER CHW (EXECUTIVE DIRECTOR)
(541) 251-0825
Entity
Organization
Contact information
Practice address
97900 SHOPPING CENTER AVE # 31, BROOKINGS, OR 97415-9412
(541) 251-0825
(541) 813-3616
Mailing address
PO BOX 4160, BROOKINGS, OR 97415-0058
(541) 251-0825
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
08/18/2022
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