1437368867 NPI number — MS. MARGARET ANNE COOPER MS PT

Table of content: MS. MARGARET ANNE COOPER MS PT (NPI 1437368867)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437368867 NPI number — MS. MARGARET ANNE COOPER MS PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COOPER
Provider First Name:
MARGARET
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOWARDS
Provider Other First Name:
MARGARET
Provider Other Middle Name:
COOPER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437368867
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 SW 3RD STREET
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
CORVALLIS
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97330
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-257-2432
Provider Business Mailing Address Fax Number:
541-257-2933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 SW 3RD STREET
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
CORVALLIS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-257-2432
Provider Business Practice Location Address Fax Number:
541-257-2933
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2486 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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