institution
Cooke Therapy Pllc
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1548721871

Cooke Therapy Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Cooke Therapy Pllc practices in Portland, OR. The NPI Number for Cooke Therapy Pllc is 1548721871 and holds a License No. (Oregon).

The current practice location address for Cooke Therapy Pllc is 1125 Se Madison St Ste 102, Portland, OR and can be reached out via phone at 503-847-5473 and via fax at 503-925-5232.

Location: 1125 Se Madison St Ste 102, Portland, OR, 97214-3600
institution
Provider Profile Details
NPI Number
1548721871
Provider Name
Cooke Therapy Pllc
Credential
Provider Entity Type
Organization
Address
1125 Se Madison St Ste 102, Portland, OR, 97214-3600
Phone Number
503-847-5473
Fax Number
503-925-5232
Provider Enumeration Date
03/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500748734 05 OR
institution
Provider Business Practice Location Address Details
Address
1125 Se Madison St Ste 102
City
State
Zip
97214-3600
Phone Number
503-847-5473
Fax Number
503-925-5232
person
Provider Business Mailing Address Details
Address
1125 Se Madison St Ste 102
City
State
Zip
97214-3600
Phone Number
503-847-5473
Fax Number
503-925-5232
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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