Kelly Tyler Cooney
Kelly Tyler Cooney is a Contractor in Portland, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1027 E Burnside StPortland, OR 97214-1328
Phone: (503) 239-8400
Fax: (503) 239-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1588541007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | August 18, 2025 |
| Last updated in NPPES | August 18, 2025 |
| Certification date | August 18, 2025 |
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