DR. JOSHUA DYLAN COOPER DC, LMT, CA - NPI 1225536279

Q: What is Joshua Cooper's NPI number?

The NPI number for Joshua Cooper is 1225536279. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Q: What is Joshua Cooper's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Cooper was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Joshua Dylan Cooper Dc, Lmt, Ca NPPES

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

DR. JOSHUA DYLAN COOPER DC, LMT, CA (NPI 1225536279) is an individual chiropractor in Camas, Washington, licensed in Washington (CH60883035) and active in the NPI registry since January 2018. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1225536279

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JOSHUA DYLAN COOPERCredential: DC, LMT, CA

Location Address19206 SE 1ST ST STE 118Camas, WA 98607-7478

Mailing Address19206 Se 1st St Ste 118Camas, WA 98607-7478 · (360) 433-9016 · Fax (360) 433-9809

Phone(360) 433-9809

Fax(360) 433-9809

Sole ProprietorNo

Enumeration DateJanuary 24, 2018

Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration

✔ NPI 1225536279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH60883035

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedMassage TherapistTaxonomy 225700000X · License 19927 (OR)

19206 SE 1ST ST STE 118, Camas, WA 98607

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Secondary Practice Location 1

Location 11359 NE 35th AvePortland, OR 97232-1941 · Phone (503) 783-8543

Other Identifiers 1

Medicaid1225536279WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Medica, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 12

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

MEGAN MARIE ALLEN LMT

Massage Therapist