Individual
FREDERICK G COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
(503) 370-4237
Mailing address
1015 3RD ST NW, SALEM, OR 97304-4007
(503) 588-3600
(503) 363-3891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12674
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233585
—
OR
Enumeration date
11/23/2005
Last updated
01/18/2017
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