Individual
JEFFREY MICHAEL COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA201963
OR
363AS0400X
Surgical Physician Assistant
Primary
PA201963
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2019
Last updated
08/20/2025
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