Russell William Cooper, CTRS
NPI #1669406104 in White City, Oregon
Provider Information
- NPI Number
- 1669406104
- Entity Type
- Individual
- Name
- Russell William Cooper, CTRS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- CTRS
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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