Individual
DR. MACKENZIE RAINIER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239-2393
(503) 494-5300
(503) 494-6519
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: L223, PORTLAND, OR 97239
(860) 463-5727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD184572
OR
2086S0102X
Surgical Critical Care Physician
MD184572
OR
2086S0127X
Trauma Surgery Physician
Primary
MD184572
OR
Other
Enumeration date
04/01/2010
Last updated
07/21/2022
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