Provider Demographics
NPI:1881843092
Name:COOPERATIVE PERFUSION SERVICES
Entity Type:Organization
Organization Name:COOPERATIVE PERFUSION SERVICES
Other - Org Name:CPS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SALES
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-227-5713
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-0069
Mailing Address - Country:US
Mailing Address - Phone:503-855-3353
Mailing Address - Fax:
Practice Address - Street 1:7727 SW BOECKMAN RD
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7751
Practice Address - Country:US
Practice Address - Phone:503-855-3353
Practice Address - Fax:503-339-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS920320246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty