Cook, David William

Cook, David William is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 735 , Portland OR 97225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cook, David William can be contacted via phone (503) 297-1351.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 735 Portland OR 97225
Fax: (503) 297-2851
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD14334 Oregon

Profile Details

NPI number 1093804353
LBN Legal business name Cook, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093804353 NPPES
Oregon MEDICAID 009089
Oregon MEDICAID 8490310

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