Individual
STEPHANIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 INLAND DR, NORTH BEND, OR 97459-1203
(860) 933-8877
Mailing address
2085 INLAND DR STE A, NORTH BEND, OR 97459-1203
(541) 267-5221
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
16721
OR
235Z00000X
Speech-Language Pathologist
16721
OR
Other
Enumeration date
08/24/2021
Last updated
02/27/2025
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