IndividualActive
Shanna Cooper, PH.D., ABPP-CN
NPI 1063901882 · Clinical Neuropsychologist · Portland, OR
Provider details
- NPI number
- 1063901882
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP-CN
- Sex
- Female
- Sole proprietor
- No
- License
- 31004 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Sw 5th Ave Ste 500
Portland, OR 97201-5537
Additional practice locations (1)
- 3439 Se Hawthorne Blvd # 611Portland, OR 97214-5048Phone: (971) 425-3360
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.