Provider Demographics
NPI:1174915284
Name:COOPER, HILARY M (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:M
Last Name:COOPER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5058 LANE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-9711
Mailing Address - Country:US
Mailing Address - Phone:541-621-7405
Mailing Address - Fax:
Practice Address - Street 1:924 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7025
Practice Address - Country:US
Practice Address - Phone:541-779-0100
Practice Address - Fax:541-779-0107
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCD(DONA)9487374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula