Individual
DR. RYAN BENJAMIN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3016 NE BROADWAY ST, PORTLAND, OR 97232-1811
(503) 287-6636
(503) 287-4044
Mailing address
4531 NE 57TH AVE, PORTLAND, OR 97218-2674
(562) 243-2480
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
61444
OR
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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