Individual
QUIRENA ANN NATIVIDAD COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 646-2423
Mailing address
11200 SW GREENBURG RD APT 15, TIGARD, OR 97223-5369
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0013996
OR
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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