Individual
KAYLEY W COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
2854 NW RALEIGH ST, PORTLAND, OR 97210-2465
(503) 799-9660
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 799-9660
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
095000331RN
OR
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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