Individual
JACQUE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 276-5121
(541) 278-4579
Mailing address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 276-5121
(541) 278-4579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200340354
OR
363LF0000X
Family Nurse Practitioner
Primary
10063313
OR
Other
Enumeration date
10/24/2023
Last updated
07/22/2026
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