EMMA ROSE COOPER
Peer Specialist

Address: 1132 Sw 13th Ave, Portland, OR 97205-1703

EMMA ROSE COOPER (NPI# 1144814492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144814492
Entity Type Individual
Full Name EMMA ROSE COOPER
Gender Female
Credential PSS
Practice Address 1132 Sw 13th Ave
Portland
OR 97205-1703
Practice Telephone 5035353860
Mailing Address 1132 Sw 13th Ave
Portland
OR 97205-1703
Mailing Telephone 5035353860
Certification Date 2021-02-26
Enumeration Date 2021-02-26
Last Update Date 2021-02-26
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 000104590 OR Other Service Providers

Office Location

Street Address 1132 SW 13TH AVE
City PORTLAND
State OR
Zip Code 97205-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568057578 Sitara Pendyala Counselor · Mental Health 1132 Sw 13th Ave, Portland, OR 97205-1703 2021-03-02
1275159048 Kathleen L Walker Registered Nurse 1132 Sw 13th Ave, Portland, OR 97205-1703 2020-06-17
1740843820 Sydney Lynn Rohrs Peer Specialist 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-04-15
1447710959 Alexander James Thixton Peer Specialist 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-03-21
1760940498 Lindsey Lee Sipos Registered Nurse · Case Management 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-03-12
1033689153 Mary Elizabeth Leone Nurse Practitioner · Family 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-12-01
1790254043 Claire Adler Richmond Anderson Case Manager/Care Coordinator 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-11-15
1891271300 Sylvia Marie Coker Registered Nurse 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-07-17
1164908182 Kathleen B O'Boyle Registered Nurse · Case Management 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-07-12
1811404353 Outside In Clinic/Center · Federally Qualified Health Center (FQHC) 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-01-05
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952906778 Synaptic Integrative Care LLC Naturopath 1020 Sw Taylor St. Ste 650, Portland, OR 97205 2020-12-01
1427533645 Christopher J Pullen Physical Therapist 1630 Sw Morrison St Ste 100, Portland, OR 97205 2018-10-03
1730682162 Jennifer Johansen Massage Therapist 1201 Sw 12th Ave, Suite 600, Portland, OR 97205 2018-03-12
1518496074 Elizabeth Mae Keplinger Massage Therapist 914 Sw 11th Ave, Portland, OR 97205 2017-06-08
1871026062 Leila Soltani Dentist · Periodontics 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1811438138 Michelle Lena Thieme Physical Therapist 1630 Sw Morrison St Ste 100, Portland, OR 97205 2017-03-20
1710337464 Genevieve Fullerton Dash Counselor · Mental Health 1312 Sw Washington, Portland, OR 97205 2016-06-14
1114374949 Elizabeth Alire Student in an Organized Health Care Education/Training Program 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1881049922 Haley Faye Lafleur Physical Therapist · Sports 909 Sw 18th Ave, Portland, OR 97205 2016-04-26
1487015871 Lionel Perry Counselor · Addiction (Substance Use Disorder) 324 Nw Davis, Portland, OR 97205 2016-03-11
Find all providers in zip 97205

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861086589 Hugh Leonard 1316 Se 12th Ave, Portland, OR 97214-3604 2021-02-23
1295327245 Randall Princeton Brewster 10564 Se Washington St, Portland, OR 97216-2809 2021-02-10
1376135079 Devon Greene 1027 E Burnside St, Portland, OR 97214-1328 2021-02-04
1083206825 Mandy Moran 830 Ne 47th Ave, Portland, OR 97213-2212 2021-02-03
1063001550 Madeline Shepherd 1316 Se 12th Ave, Portland, OR 97214-3604 2021-01-11
1144817586 Jacquelle C Davis 14600 Nw Cornell Rd, Portland, OR 97229-5442 2020-12-30
1073100053 Jennifer L. Wills 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2020-12-24
1467049494 Kimberly Clarke 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 2020-12-23
1295321594 Charlene Denise Albin · Charlene Denise Jones 1312 Sw Wahington St, Portland, OR 97208 2020-12-21
1306440383 Tanna L Chandler 1631 Sw Columbia St, Portland, OR 97201-6025 2020-11-30
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.