Cooke Therapy Pllc

LBN: Cooke Therapy Pllc
Cooke Therapy Pllc is an health care organization with primary practice located at 1125 Se Madison St Ste 102 , Portland OR 97214-3600. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Cooke Therapy Pllc can be contacted via phone (503) 847-5473, or through Cooke, Cheryl Lynne via phone (503) 847-5473.

Contact Information

Primary practice address
1125 Se Madison St Ste 102 Portland OR 97214-3600
Phone: (503) 847-5473
Fax: (503) 925-5232
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Cheryl Lynne PHD, DNP, PMHNP-BC
Phone: (503) 847-5473

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1548721871
LBN Legal business name Cooke Therapy Pllc
DBA Doing business as
Authorized official Cooke, Cheryl Lynne PHD, DNP, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2019
Last updated Aug 2nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548721871 NPPES
Oregon MEDICAID 500748734

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