Individual provider · Type 1 NPI

Diane M. Cockburn, ANP

Adult Health Nurse Practitioner · Portland, OR

NPI number 1275627325 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1106

Fax (503) 331-6505

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X200250099 (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1275627325

Diane M. Cockburn, ANP's National Provider Identifier is 1275627325, issued on Oct 3, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2021.