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Individual

MR. JOSHUA LAWRENCE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
3040 SW 15TH CT, GRESHAM, OR 97080-5750
(503) 839-2316

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/06/2007
Last updated
11/06/2007
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