Brent J Cooper (NPI# 1144774498, PAC ID# 2466740865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1144774498 |
PAC ID by PECOS | 2466740865 |
Professional Enrollment ID | I20161018002902 |
Full Name | Brent J Cooper |
Organization Legal Name | LEGACY SALMON CREEK HOSPITAL |
Address |
1625 Se 192nd Ave Suite 100 Camas WA 98607-7441 |
Phone Number | 3605664840 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0446295711 |
Number of Group Practice Members | 168 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500150 | LEGACY SALMON CREEK HOSPITAL |
Address | Phone | Organization |
---|---|---|
1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 | 3605664840 | LEGACY SALMON CREEK HOSPITAL |
1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 | 3602602773 | LEGACY SALMON CREEK HOSPITAL |
2211 Ne 139th St, Vancouver, WA 98686-2742 | LEGACY SALMON CREEK HOSPITAL |
Organization Legal Name | LEGACY SALMON CREEK HOSPITAL |
Physicians | 124 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stanley G Lue | Neurology | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Stephanie J Bennett | Nurse Practitioner | Legacy Salmon Creek Hospital | 1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 |
Mark F Schray | Radiation Oncology | Legacy Salmon Creek Hospital | 2121 Ne 139 St, Vancouver, WA 98686-2316 |
John G Buckmaster | Obstetrics/gynecology | Legacy Salmon Creek Hospital | 2101 Ne 139th St, Vancouver, WA 98686-2311 |
Phillip Cullison Bonner | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Sanjiv M Panwala | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Quynh T Tran | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Louis S Casso-gomez | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Oscar R Zepeda | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Alpana Marwaha | Internal Medicine | Legacy Salmon Creek Hospital | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
Street Address |
1625 SE 192ND AVE SUITE 100 |
City | CAMAS |
State | WA |
Zip | 98607-7441 |
Name | Specialty | Organization | Address |
---|---|---|---|
Greta L Miracle | Physician Assistant | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Kelley M Aurand | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Elizabeth A Muzik | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Janet C West | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Tad W Lowder | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Gregory R Saunders | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
John A Koehler Iii | Family Medicine | Legacy Salmon Creek Hospital | 1625 Se 192nd Ave, Suite 100, Camas, WA 98607-7441 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raghuram B Bhat | Psychiatry | 417 Ne 2nd Ave, Suite 205, Camas, WA 98607-1601 | |
Willie G Sandry | Physical Therapy | 318 Ne 5th Ave, Camas, WA 98607-2029 | |
David J Hagen | Family Medicine | 327 Ne 5th Ave, Camas, WA 98607-2030 | |
Gary L Smith | Chiropractic | 337 Ne 5th Ave, Camas, WA 98607-2030 | |
Samantha Dee Clevenger | Chiropractic | Darling Chiropractic Services, PC | 235 Ne 6th Ave, Camas Family Health Center, Camas, WA 98607-2033 |
Trista L Darling | Chiropractic | Darling Chiropractic Services, PC | 235 Ne 6th Ave, Camas Family Health Center, Camas, WA 98607-2033 |
Bryan Gehm | Chiropractic | Darling Chiropractic Services, PC | 235 Ne 6th Ave, Camas Family Health Center, Camas, WA 98607-2033 |
Haley N Gehm | Chiropractic | Darling Chiropractic Services, PC | 235 Ne 6th Ave, Camas Family Health Center, Camas, WA 98607-2033 |
Robert A Nicacio | Optometry | Mednic PC | 225 Ne 4th Ave, Camas, WA 98607-2125 |
Brandon K Pasa | Chiropractic | 428 Ne 4th Ave, Camas, WA 98607-2128 | |
Find all physicians in zip 98607 |
City | CAMAS |
Zip Code | 98607 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CAMAS + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.