Individual provider · Type 1 NPI

Jeffrey Michael Cooksey, PA-C

Surgical Physician Assistant · Salem, OR

NPI number 1528605342 Active

Practice location

1600 State St
Salem, OR 97301-4257

Call (503) 540-6300 Map

Fax (503) 540-6404

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA201963 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA201963 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1528605342

Jeffrey Michael Cooksey, PA-C's National Provider Identifier is 1528605342, issued on Dec 1, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salem, OR. The record was last updated on Aug 20, 2025.