Individual provider · Type 1 NPI

Elizabeth Grace Cooper, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1063460129 Active

Practice location

727 W Burnside
Portland, OR 97209

Mailing address

1925 SE 29th Ave
Portland, OR 97214-4926

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1063460129

Elizabeth Grace Cooper, PMHNP's National Provider Identifier is 1063460129, issued on May 4, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.