DR. LARRY PAIGE COOPER (NPI# 1083728976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083728976 |
| Entity Type | Individual |
| Full Name | DR. LARRY PAIGE COOPER |
| Credential | MD |
| Practice Address |
412 Sw 12th Ave Portland OR 97205-2329 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032287134 |
| Practice Fax Number | 5034450749 |
| Mailing Telephone | 5032941681 |
| Mailing Fax Number | 5032417419 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD08955 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124660584 | Larry D Cooper Jr. | Behavior Technician | 3252 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-16 |
| 1831192574 | Larry J Cooper | Radiology | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2005-05-26 |
| 1326392705 | Larry Trevor Cooper | Counselor | 1280 Terminal Way Ste 5, Reno, NV 89502-3242 | 2012-11-06 |
| 1023078086 | Larry Cooper | Family Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-03-24 |
| Street Address |
412 SW 12TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457308587 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2006-05-26 |
| 1699045278 | Robin Robberson | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639449200 | Megan T Ednoff | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639446990 | Pamela Njideka Ogbeama | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-11-30 |
| 1689950362 | Amy Hart | Case Manager/Care Coordinator | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-26 |
| 1639454747 | Elsa Renthal | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-20 |
| 1770868093 | Julie Baer | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-18 |
| 1467735233 | Robert Richardson | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1386927150 | Cathy Kennedy | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1174806574 | Darrah A Buitron | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878947 | Celia Mantovani | Psychiatry & Neurology | 15 Cypress St, Portland, ME 04103-2008 | 2020-07-10 |
| 1538782834 | Endeavor Psychiatry LLC | Psychiatry & Neurology | Sw, Portland, OR 97219-5885 | 2020-05-20 |
| 1154942142 | Prisma Wellness LLC | Psychiatry & Neurology | 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 | 2020-04-30 |
| 1588291082 | Alexis Family Psychiatry, LLC | Psychiatry & Neurology | 415 Congress St Ste 202a, Portland, ME 04101-3500 | 2020-03-24 |
| 1881188084 | Geriatric Psychiatry Associates | Psychiatry & Neurology | 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 | 2018-06-20 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1154839108 | Cascade Tms LLC | Psychiatry & Neurology | 205 Se Spokane St Ste 301, Portland, OR 97202-6487 | 2018-01-11 |
| 1538601737 | Diana S Domnitei Md LLC | Psychiatry & Neurology | 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 | 2016-11-06 |
| 1104286269 | Anne Fleming, Md, LLC | Psychiatry & Neurology | 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 | 2016-03-02 |
| 1417338708 | Andrew Justin Ruege | Psychiatry & Neurology | 5421 Sw Patton Rd, Portland, OR 97221-2226 | 2015-06-12 |
| 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.