Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell William Cooper, CTRS

Individual provider Specialist · NPI 1669406104

Russell William Cooper, CTRS is a Specialist in White City, Oregon. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1669406104
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007