Individual
AUDREY J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 317-4185
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 317-4185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L6647
OR
104100000X
Social Worker
LW61665183
WA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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