Individual
KIMBERLY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 200, BEAVERTON, OR 97006-7359
(503) 258-4495
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
07/03/2024
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