NPI 1285728816 · live from the CMS NPI Registry
Richard J. Cook, D.D.S.,M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in West Linn, OR. National Provider Identifier 1285728816, active.
NPI record
| NPI | 1285728816 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 18676 Willamette Dr. Ste 201, West Linn, OR 97068 |
| Practice phone | 503-636-8475 |
| Mailing address | P.O. Box 45, West Linn, OR 97068 |
| Enumerated | October 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4711 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.