IndividualActive
Kelly Cooney
NPI 1588541007 · Contractor · Portland, OR
Provider details
- NPI number
- 1588541007
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sole proprietor
- No
Practice location
1027 E Burnside St
Portland, OR 97214-1328
Phone: (503) 239-8400
Fax: (503) 239-8406
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.