Individual
DEVIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Mailing address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-CRM-3737
OR
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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