Individual
MRS. DOLORES Y COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
532 SE 9TH AVE, CANBY, OR 97013-8770
(828) 465-9816
Mailing address
532 SE 9TH AVE, CANBY, OR 97013-8770
(828) 465-9816
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110609
OR
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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