Individual
MS. EMILY ELIZABETH COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
1511 SW CHASTAIN AVE, GRESHAM, OR 97080-9623
(503) 704-3999
Mailing address
1511 SW CHASTAIN AVE, GRESHAM, OR 97080-9623
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH 60296060
WA
124Q00000X
Dental Hygienist
Primary
H6364
OR
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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