CASSIE RUTH COOPER (NPI# 1538622105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538622105 |
Entity Type | Individual |
Full Name | CASSIE RUTH COOPER |
Credential | BSN, RN CWON |
Practice Address |
890 Oak St Se Bldg B Salem OR 97301-3905 |
Mailing Address |
890 Oak St Se Salem OR 97301-3905 |
Practice Telephone | 5035615200 |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
200241616RN | OR | Nursing Service Providers |
Y | 363LS0200X |
Nurse Practitioner Specialization: School |
200241616RN | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
890 OAK ST SE BLDG B |
City | SALEM |
State | OR |
Zip Code | 97301-3905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477985737 | Sandra Dee Bunn | Clinical Nurse Specialist | 890 Oak St Se Bldg B, Salem, OR 97301-3905 | 2013-08-08 |
1043648579 | Mary Josephine Bedell | Clinical Nurse Specialist | 890 Oak St Se Bldg B, Salem, OR 97301-3905 | 2013-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
Find all providers in zip 97301 |
Taxonomy Code | 363LS0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962038018 | Tracee Jon Dahlke | Nurse Practitioner | 8855 Sw Holly Ln Ste 100, Wilsonville, OR 97070-8792 | 2020-03-20 |
Please comment or provide details below to improve the information on CASSIE RUTH COOPER.
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.