Forrest Cooper, LAc.
Acupuncturist in Portland, OR. Individual provider (NPI-1).
NPI number1710072426
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710072426
- Entity type
- Individual (NPI-1)
- Name
- Mr. Forrest Cooper
- Credential
- LAc.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC00532 | OR | Yes |
Practice location
5923 Se Foster RdPortland, OR 97206-3734
Phone 503-901-0912
Mailing address
5923 Se Foster RdPortland, OR 97206-3734
Phone 503-901-0912
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