ELIZABETH GRACE COOPER (NPI# 1063460129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063460129 |
| Entity Type | Individual |
| Full Name | ELIZABETH GRACE COOPER |
| Credential | PMHNP |
| Practice Address |
727 W Burnside Portland OR 97209 |
| Mailing Address |
1925 Se 29th Ave Portland OR 97214-4926 |
| Practice Telephone | 5032284533 |
| Mailing Telephone | 5032284533 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418098 | Elizabeth Leigh Cooper | Registered Nurse | 3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033 | 2019-07-03 |
| 1760991061 | Elizabeth Rothell Cooper | Registered Nurse | 4335 Richmond Ave, Shreveport, LA 71106-1417 | 2017-09-29 |
| 1669912739 | Elizabeth Cooper | Psychologist | 201 Green Pasture Rd, Mebane, NC 27302-8427 | 2017-03-08 |
| 1932570744 | Elizabeth May Cooper | Nurse Practitioner | 510 Hill Ave, Ocoee, FL 34761-2339 | 2015-10-20 |
| 1740523034 | Elizabeth Cherie Cooper | Veterinarian | 5630 N Broadway St, Knoxville, TN 37918-4103 | 2013-04-04 |
| 1700194503 | Elizabeth Anne Cooper | Developmental Therapist | 914 Concordia Ln Apt 2s, Clayton, MO 63105 | 2010-09-15 |
| 1629233994 | Elizabeth Billiot Cooper | Counselor | 409 Garnet St, Houma, LA 70364 | 2008-07-25 |
| 1780862300 | Elizabeth Anne Chapman Cooper | Developmental Therapist | 1277 Horsham Way, Apex, NC 27502-6444 | 2008-02-06 |
| 1316943616 | Elizabeth Coenen Cooper | Speech-Language Pathologist | 17028 Lejeune Road, Quantico, VA 22134-1757 | 2005-06-22 |
| 1649815143 | Elizabeth Cooper | Counselor | 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795 | 2019-11-08 |
| Street Address |
727 W BURNSIDE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649229485 | Kathleen Goodwin Goforth | Acupuncturist | 727 W Burnside, Portland, OR 97209 | 2006-05-09 |
| 1346298239 | Laura Elizabeth Ocker | Acupuncturist | 727 W Burnside, Portland, OR 97209 | 2006-05-04 |
| 1235187121 | Chuck Harold Sve | Acupuncturist | 727 W Burnside, Portland, OR 97209 | 2006-05-04 |
| 1124076013 | Carol Ann Burckhardt | Nurse Practitioner | 727 W Burnside, Portland, OR 97209 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.