Clifford Lewis Cooper MD

NPI 1093806572 - Internal Medicine - 207R00000X

NPI Details
NPI 1093806572
Gender Male
Enumeration Date 09/27/2006
Last Updated 06/25/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
800 SW 13TH AVE
PORTLAND OR, 97205-1902, US
Phone (503) 221-0161
Fax (503) 274-1697
Business Location
800 SW 13TH AVE
PORTLAND OR, 97205-1902, US
Phone (503) 221-0161
Fax (503) 274-1697
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD11992
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According to our database, Clifford Lewis Cooper MD NPI is 1093806572, taxonomy code is 207R00000X and license number is MD11992, license state is located at Oregon. Clifford Lewis Cooper MD physically located at 800 Sw 13th Ave, Portland OR, 97205-1902. NPI Number Clifford Lewis Cooper MD has the Individual type.

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1093806572 NPI number is provided on an as is basis without warranty of any kind. 1093806572 is maintained by the National Plan & Provider Enumeration System. The contents of Clifford Lewis Cooper MD are for informational purposes only.