Individual
SHANDA B COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
389 SW SCALEHOUSE CT STE 130, BEND, OR 97702-3241
(541) 306-4446
Mailing address
69 SE PIPER DR, BEND, OR 97702-1514
(541) 728-7882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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