Individual provider · Type 1 NPI

Madison Cooper

Peer Specialist · Portland, OR

NPI number 1407764509 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

Call (503) 517-8663 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1407764509

Madison Cooper's National Provider Identifier is 1407764509, issued on Aug 31, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2026.