Individual
MR. JAMES N. COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1470
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
098006159N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269484
—
OR
Enumeration date
06/13/2005
Last updated
02/16/2021
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