Organization
ROBERT D COOK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D COOK MD (CORPORATE PRESIDENT)
(503) 692-3250
Entity
Organization
Contact information
Practice address
19875 SW 65TH AVE, SUITE 201, TUALATIN, OR 97062-8353
(503) 692-3250
(503) 691-2212
Mailing address
19875 SW 65TH AVE, SUITE 201, TUALATIN, OR 97062-8353
(503) 692-3250
(503) 691-2212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07347
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232652
—
OR
Enumeration date
11/02/2006
Last updated
11/30/2007
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