Organization · Type 2 NPI
Cooke Therapy PLLC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1548721871
Active
Practice location
1125 SE Madison St Ste 102
Portland, OR 97214-3600
Fax (503) 925-5232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548721871
Cooke Therapy PLLC's National Provider Identifier is 1548721871, issued on Mar 28, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Aug 2, 2019.