Individual provider · Type 1 NPI
Richard Edward Cooksley, PA
Medical Physician Assistant · Canyonville, OR
NPI number
1942271192
Active
Practice location
115 S Pine St
Canyonville, OR 97417-9648
Fax (541) 839-4983
Mailing address
PO Box 888
Canyonville, OR 97417-0888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00272 (OR) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Canyonville
About NPI 1942271192
Richard Edward Cooksley, PA's National Provider Identifier is 1942271192, issued on Jan 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Canyonville, OR. The record was last updated on Oct 18, 2018.