Individual
JEROD A. COTTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1146
Mailing address
710 NE HOLLADAY ST STE 150, PORTLAND, OR 97232-2168
(503) 542-2744
(877) 773-0291
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DO24951
OR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP1945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8420416
—
WA
Enumeration date
06/21/2006
Last updated
09/08/2025
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