Individual
STEPHEN L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(541) 484-4332
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD24045
OR
Other
Enumeration date
07/13/2005
Last updated
08/30/2016
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