Individual
CHRISTINE ANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15880 QUARRY RD, LAKE OSWEGO, OR 97035-3336
(503) 635-6451
(503) 635-4337
Mailing address
1532 MARYLHURST DR, WEST LINN, OR 97068-1831
(503) 750-9865
(503) 635-4337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2674
OR
111N00000X
Chiropractor
XOO6262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272674
LICENSE
OR
01
—
XOO6262
LICENSE
NY
Enumeration date
04/26/2007
Last updated
07/08/2007
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