Individual
MELISSA DAWN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
412 NE FORD ST., MCMINNVILLE, OR 97128
(503) 434-7525
(503) 472-9731
Mailing address
412 NE FORD ST., MCMINNVILLE, OR 97128
(503) 434-7525
(503) 472-9731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450103NPFNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275433
—
OR
Enumeration date
03/02/2006
Last updated
02/20/2019
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