person
Ms. Diane M Cockburn, ANP
Adult Health Nurse Practitioner in Portland, Oregon
NPI 1275627325

Diane M Cockburn is an Adult Health Nurse Practitioner based in Portland, OR and is specialized in Adult Health. Diane M Cockburn practices in Portland, OR and has the professional credentials of ANP. The NPI Number for Diane M Cockburn is 1275627325 and holds a License No. 200250099 (Oregon).

The current practice location address for Diane M Cockburn is 3600 N Interstate Ave, Portland, OR and can be reached out via phone at 503-331-6500 and via fax at 503-331-6505.

Location: 3600 N Interstate Ave, Portland, OR, 97227-1106
person
Provider Profile Details
NPI Number
1275627325
Provider Name
Diane M Cockburn
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
3600 N Interstate Ave, Portland, OR, 97227-1106
Phone Number
503-331-6500
Fax Number
503-331-6505
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100111 05 OR
institution
Provider Business Practice Location Address Details
Address
3600 N Interstate Ave
City
State
Zip
97227-1106
Phone Number
503-331-6500
Fax Number
503-331-6505
person
Provider Business Mailing Address Details
Address
3600 N Interstate Ave
City
State
Zip
97227-1106
Phone Number
503-331-6500
Fax Number
503-331-6505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
200250099 (Oregon)
Definition
Definition to come...
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