Whalio Doctors

NPI 1063901882

Shanna Cooper, PHDABPPCN

Practitioner Clinical Neuropsychologist Portland, OR

Practice location

Address
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone
(503) 494-6176
Fax
(503) 494-6152
Mailing address
1400 SW 5th Ave STE 500, Portland, OR 97201-5537

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 3482 (OR)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 31004 (CA)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 3482 (OR)

Registry record

NPI
1063901882
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 May 2018
Record last updated
29 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.