MR. EDWARD JERROLD COOPER SR. (NPI# 1952551848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952551848 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JERROLD COOPER SR. |
| Credential | L.D |
| Practice Address |
4645 South East 85th Ave. Portland OR 97266 |
| Practice Telephone | 5037753797 |
| Mailing Telephone | 5037753797 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DT-DO-916801 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1396964136 | Edward Dale Cooper | Dentist | 9918 Venice Blvd, Culver City, CA 90232-2719 | 2007-04-24 |
| 1053473165 | Edward Joseph Cooper | Social Worker | Act Program, 430 Niagara Street, Buffalo, NY 14201 | 2006-12-14 |
| 1992743173 | Edward J Cooper | Internal Medicine | 2730 S. Val Vista Dr., Suite #187, Gilbert, AZ 85296 | 2006-06-02 |
| 1912982851 | Edward Cecil Cooper | Family Medicine | 3161 Walnut Ave, Fremont, CA 94538-2216 | 2005-12-14 |
| 1457554628 | Edward B. Cooper | Pediatrics | 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229-3026 | 2007-06-06 |
| 1215056619 | Edward B Cooper | Optometrist | 1450 University Ave, #d, Riverside, CA 92507-4467 | 2007-03-28 |
| 1972537637 | Edward C Cooper | Psychiatry & Neurology | 6550 Fannin St, Ste 1801, Houston, TX 77030-2717 | 2006-07-10 |
| 1003852658 | Edward B Cooper | Emergency Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2006-06-21 |
| Street Address |
4645 SOUTH EAST 85TH AVE. |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1043595903 | Edward Espinoza Jr. | Denturist | 206 Ne 80th Ave, Portland, OR 97213-7016 | 2011-10-11 |
| 1629308648 | Theodore Keith Dhein | Denturist | 8064 S.e. Harold St., Portland, OR 97206-5148 | 2010-01-14 |
| 1417287244 | Kelly Carbone | Denturist | 980 Forest Ave Ste 104, Portland, ME 04103-3357 | 2009-12-29 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| 1669688636 | William Ollenbrook | Denturist | 3131 Se 122nd Ave, Portland, OR 97236-3209 | 2007-05-15 |
| 1558577007 | Eui Young Suk | Denturist | 9234 Ne Glisan St, Portland, OR 97220-4532 | 2007-05-14 |
| 1568529998 | James Clifton Garbarino | Denturist | 1933 Sw Jefferson, Willamette Dental Gr, Portland, OR 97224 | 2007-01-03 |
| 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.