Organization
COGNICARE NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON K RHODES D.C (OWNER)
(424) 622-8428
Entity
Organization
Contact information
Practice address
785 NW 178TH AVE, BEAVERTON, OR 97006-4047
(314) 983-9355
Mailing address
785 NW 178TH AVE, BEAVERTON, OR 97006-4047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
10/28/2024
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