CASSIE RUTH COOPER


Address: 890 Oak St Se Bldg B, Salem, OR 97301-3905
Phone: 5035615200

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 890 OAK ST SE BLDG B
City SALEM
State OR
Zip Code 97301-3905

Providers in the same location

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

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Taxonomy Information

Taxonomy Code 363LS0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962038018 Tracee Jon Dahlke Nurse Practitioner 8855 Sw Holly Ln Ste 100, Wilsonville, OR 97070-8792 2020-03-20

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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