Active NPIIndividual provider

Mary K Cook, QMHA-R, CRM

Counselor, Addiction (Substance Use Disorder) in Tigard, Oregon

NPI Number1114538840
Practice location
8915 SW Center St, Tigard, OR 97223-6307
Fax
—
Last updated
March 2, 2026

Mary Kathleen Cook is a Counselor, Addiction (Substance Use Disorder) based in Tigard, OR. Mary Kathleen Cook practices in Tigard, OR and has the professional credentials of QMHA-R, CRM. The NPI Number for Mary Kathleen Cook is 1114538840 and holds a License No. 25-CRM-4813 (OR). The current practice location address for Mary Kathleen Cook is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-726-3690.

Provider Profile Details

NPI Number
1114538840
Provider Name
Mary Kathleen Cook
Credential
QMHA-R, CRM
Provider Entity Type
Individual
Gender
Female
Address
8915 SW Center St, Tigard, OR 97223-6307
Phone Number
503-726-3690
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2020
Last Update Date
March 2, 2026
Certification Date
March 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3690
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
OR
Zip
97223-6307
Phone Number
503-726-3690

License Information

License Number (1)
25-CRM-4813
License State (1)
OR
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
22-QMHA-R-2749
License State (2)
OR
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary K Cook, QMHA-R, CRM?

The NPI number of Mary K Cook, QMHA-R, CRM is 1114538840. It was assigned on August 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Mary K Cook, QMHA-R, CRM?

Mary K Cook, QMHA-R, CRM is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number 25-CRM-4813.

Where does Mary K Cook, QMHA-R, CRM practice?

The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-726-3690 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114538840 directly on the NPPES registry website.

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