Individual
BRIAN C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 574-4455
(509) 574-4481
Mailing address
732 SUMMITVIEW AVE # 621, YAKIMA, WA 98902-3032
(509) 574-4455
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200842087RN
OR
163W00000X
Registered Nurse
RN00130734
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60214919
WA
367500000X
Certified Registered Nurse Anesthetist
N360215716
WA
Other
Enumeration date
01/03/2009
Last updated
04/21/2011
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