Individual
JESSE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., SLP-CF
Contact information
Practice address
7725 SE 19TH AVE, PORTLAND, OR 97202-6208
(909) 912-2863
Mailing address
7725 SE 19TH AVE, PORTLAND, OR 97202-6208
(909) 912-2863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16730
OR
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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