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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL WILLIAM COOPER, CTRS

Active

RUSSELL WILLIAM COOPER, CTRS is a Specialist healthcare provider located in WHITE CITY, Oregon. NPI 1669406104 is currently active in the NPPES registry. Verify at CMS.

Specialist · WHITE CITY, OR

Registration Details

NPI Number
1669406104
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2006 (20.055538787649 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
8495 CRATER LAKE HWY
WHITE CITY, OR, 975033011
Browse OR providers · Browse ZIP 97503
Phone
5418262111
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.