Individual
DR. MARK WILLIAM COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1123 N HAYDEN MEADOWS DR, PORTLAND, OR 97217-7547
(503) 205-6661
(503) 205-8849
Mailing address
1123 N HAYDEN MEADOWS DR, PORTLAND, OR 97217-7547
(503) 205-6661
(503) 205-8849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ORRPH0013428
OR
Other
Enumeration date
07/20/2014
Last updated
07/20/2014
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