Shanna Cooper, Ph.D., ABPP-CN
Clinical Neuropsychologist in Portland, OR. Individual provider (NPI-1).
NPI number1063901882
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1063901882
- Entity type
- Individual (NPI-1)
- Name
- Shanna Cooper
- Credential
- Ph.D., ABPP-CN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2018
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 3482 | OR | Yes |
| 103G00000X | Clinical Neuropsychologist | 31004 | CA | |
| 103TF0200X | Psychologist, Forensic | 3482 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-6176 · Fax 503-494-6152
Mailing address
1400 Sw 5th Ave Ste 500Portland, OR 97201-5537
Phone 866-617-6855 · Fax 503-346-8015
Other practice locations
3439 Se Hawthorne Blvd # 611
Portland, OR 97214-5048
Portland, OR 97214-5048
Phone 971-425-3360
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