# COGNICARE NORTHWEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518798560
- **Authorized official:** JASON K RHODES D.C (OWNER)
- **Authorized official phone:** (424) 622-8428

## Contact information

- **Practice address:** 785 NW 178TH AVE, BEAVERTON, OR 97006-4047
- **Practice address phone:** (314) 983-9355
- **Mailing address:** 785 NW 178TH AVE, BEAVERTON, OR 97006-4047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 10/28/2024