MR. DAVID WARREN COOPER JR. LCDC III
NPI 1215329883
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 19, 2015
10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 235-8655 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2021, Mar 24, 2017 (2 updates tracked since 2017).

About Mr. David Warren Cooper Jr. Lcdc Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID WARREN COOPER JR. LCDC III (NPI 1215329883) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (14-05-15) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1215329883
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DAVID WARREN COOPER JR.Credential: LCDC III
Location Address10564 SE WASHINGTON STPortland, OR 97216-2809
Mailing Address10564 Se Washington StPortland, OR 97216-2809 · Fax (503) 802-0598
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1215329883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in OR · 14-05-15 Licensed in OH · LCDC III 161070
10564 SE WASHINGTON ST, Portland, OR 97216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Cooper's NPI number?

The NPI number for David Cooper is 1215329883. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is David Cooper located?

David Cooper practices at 10564 SE Washington St, Portland, OR 97216. The listed phone number is (503) 235-8655.

What is David Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Cooper was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.