Individual
ARIEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201705796RN
OR
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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