Individual
DR. SCOTT CALVIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2020
Mailing address
13151 NW CHEERIO LN, PORTLAND, OR 97229-1601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2183T
OR
152W00000X
Optometrist
2347
MN
152WP0200X
Pediatric Optometrist
2183T
OR
152WV0400X
Vision Therapy Optometrist
2183T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121983
—
OR
Enumeration date
06/26/2006
Last updated
10/01/2013
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