Individual
JOANNA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(541) 342-5088
Mailing address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(541) 342-5088
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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