Individual
BRITTANY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 BROADWAY AVE, NORTH BEND, OR 97459-1202
(541) 252-1316
Mailing address
280 S WALL ST, COOS BAY, OR 97420-3219
(541) 252-1316
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19519
OR
Other
Enumeration date
07/14/2015
Last updated
02/27/2020
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