Individual
DR. JAMES M. COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 98201-1684
(425) 267-5200
Mailing address
PO BOX 3360, PROVIDENCE HEALTH & SERVICES, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00028550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177401
L&I PROVIDER NUMBER
WA
05
—
8126823
—
WA
01
—
P00125473
RAILROAD MEDICARE
WA
Enumeration date
12/29/2005
Last updated
05/10/2021
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