MS. SUZANNE C. COOPER (NPI# 1770679458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770679458 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE C. COOPER |
| Credential | NP |
| Practice Address |
3550 N Interstate Ave Portland OR 97227-1196 |
| Practice Telephone | 5032493434 |
| Mailing Telephone | 5032493434 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
200050043NP | OR | Allopathic & Osteopathic Physicians |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200050043NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
025804AP30006101 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
200050043 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676804 | Suzanne Beth Schimmel Cooper | Psychologist | 8158 E 5th Ave Ste 270, Denver, CO 80230-6446 | 2020-10-11 |
| 1174172902 | Suzanne Cooper | Counselor | 7921 Southpark Plz Ste 204, Littleton, CO 80120-4506 | 2019-09-04 |
| 1891092557 | Suzanne O'sullivan Cooper | Social Worker | 10535 Hospital Way, Mather, CA 95655-4200 | 2011-02-16 |
| 1164728432 | Suzanne Celeste Cooper | Nurse Practitioner | 510 Superior Ave Ste 200b, Newport Beach, CA 92663-3665 | 2011-02-04 |
| 1972632461 | Suzanne E Cooper | Physical Therapist | 402 10th St Se, Suite 700, Cedar Rapids, IA 52403-2435 | 2007-03-02 |
| 1174690010 | Suzanne Cooper | Emergency Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2006-11-29 |
| 1285706788 | Suzanne S Cooper | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-14 |
| 1952335317 | Suzanne L. Cooper | Nurse Practitioner | 1 Main St, Racine, WI 53403-1079 | 2006-07-10 |
| Street Address |
3550 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335295 | Brenda R Annotti | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227 | 2005-06-08 |
| 1124633326 | Ajna Rae | Counselor | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2020-09-14 |
| 1649822420 | Rosa Ahn | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-07-12 |
| 1154882132 | Casey Grad Granbois | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-03-30 |
| 1750855425 | Julie Catherine Leffler | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-01-16 |
| 1487125738 | John Mark Custer | Social Worker | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2018-12-16 |
| 1548776842 | Heather Jacobs | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2017-12-21 |
| 1245764075 | Ryan Nesbit | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2017-04-19 |
| 1023552460 | Chia Neng Vang | Pharmacist | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2016-12-04 |
| 1295278307 | Fideliz Enrile Lim | Pharmacist | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.