Organization
COOPERATIVE THERAPIES NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE HART (CLINIC ASSISTANT AND CREDENTIALING)
(503) 433-8085
Entity
Organization
Contact information
Practice address
7759 SW CIRRUS DR, BEAVERTON, OR 97008-5968
(503) 433-8085
Mailing address
7759 SW CIRRUS DR, BEAVERTON, OR 97008-5968
(503) 433-8085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
233731
OR
235Z00000X
Speech-Language Pathologist
Primary
13513
OR
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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