Stephanie Cooper

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

16721 Issued in OR

Practice address

2085 Inland Dr
North Bend, OR 97459-1203

Phone

(860) 933-8877

NPI assigned

Aug 24, 2021

Last updated

Feb 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheldon Medical LLC

  dba Southwest Rehabilitation

  • Hearing and Speech Clinic/Center
  • Coos Bay, OR
  • NPI 1407023328

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1669149035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 INLAND DR STE A",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591203",
            "telephone_number": "541-267-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 INLAND DR",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591203",
            "telephone_number": "860-933-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4640 S MacAdam Ave Ste 90",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394285",
            "country_code": "US",
            "telephone_number": "503-292-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16721",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OR",
            "license": "16721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbiacare Services Inc (Pony Creek Board and Care)
• Tana Lee Contois
• Carmen Cook, LMT
• Kortney Kayla Rose Coolidge
• Brittany Cooper
• Coos Bay Chiropractic & Wellness Center Inc (Coos Bay Chiropractic and Wellness Center)
• Coos County Correctional Treatment Center
• Coos County Oregon (Coos County Mental Health)
• Coos County School District #13
• Sophia B Cording, PMHNP

• Speech-Language Assistant in North Bend, OR
• Providers in North Bend, OR by specialty
• Speech-Language Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.