Individual provider · Type 1 NPI

David Warren Cooper Jr., LCDC III

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1215329883 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Call (503) 235-8655 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDC III 161070 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-05-15 (OR)

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About NPI 1215329883

David Warren Cooper Jr., LCDC III's National Provider Identifier is 1215329883, issued on Feb 19, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2021.