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Organization

SUNRISE FAMILY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUALINE MARIE TERRILL COOKE F.N.P. (OWNER/PROVIDER)
(503) 474-3600
Entity
Organization

Contact information

Practice address
320 SE BAKER ST, MCMINNVILLE, OR 97128-6038
(503) 474-3600
(503) 474-3601
Mailing address
320 SE BAKER ST, MCMINNVILLE, OR 97128-6038
(503) 474-3600
(503) 474-3601

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
200350072NP
OR

Other

Enumeration date
09/04/2013
Last updated
02/09/2026
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