Individual
KAYDEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
001285
OR
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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