Individual
MRS. PATRICIA JANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LMFT
Contact information
Practice address
13831 NW CORNELL RD, SUITE 104, PORTLAND, OR 97229-2286
(503) 349-6171
(503) 645-6504
Mailing address
13831 NW CORNELL RD, SUITE 104, PORTLAND, OR 97229-2286
(503) 349-6171
(503) 645-6504
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
#T0392
OR
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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