Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
Y | 175F00000X | Naturopath | WA |
NPI | 1114200284 |
---|---|
Provider Name | Jocelyn M Cooper |
First Address | Bend, OR 97701-7024 |
Second Address | Bend, OR 97701-4387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2011 |
Last Update Date | 06/11/2020 |