Individual provider · Type 1 NPI

Russell William Cooper, CTRS

Specialist · White City, OR

NPI number 1669406104 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Call (541) 826-2111 Map

Mailing address

2522 Bel Abbes Ave
Medford, OR 97504-1737

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

247 other providers at this address

About NPI 1669406104

Russell William Cooper, CTRS's National Provider Identifier is 1669406104, issued on Jul 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in White City, OR. The record was last updated on Jul 8, 2007.