Individual
LYLE CHRISTINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28180 SE GERBER CT, EAGLE CREEK, OR 97022-8724
(720) 842-9707
Mailing address
2650 NE 6TH PL, PORTLAND, OR 97212-3880
(720) 842-9707
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
10021401
OR
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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