Individual provider · Type 1 NPI

Kelly Tyler Cooney

Contractor · Portland, OR

NPI number 1588541007 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Fax (503) 239-8406

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1588541007

Kelly Tyler Cooney's National Provider Identifier is 1588541007, issued on Aug 18, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2025.