Cook, Karen Marie
Cook, Karen Marie is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801-0160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Karen Marie can be contacted via phone (541) 215-1965.Contact Information
Primary practice address
73265 Confederated Way
Pendleton OR 97801-0160
Phone: (541) 215-1965
Fax: (541) 278-7572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R43012 | New Mexico |
Profile Details
| NPI number | 1164536546 |
|---|---|
| LBN Legal business name | Cook, Karen Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Apr 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164536546 | NPPES |
| Arizona | MEDICAID | 621723 | |
| Arizona | MEDICAID | 53837525 | |
| Arizona | MEDICAID | 171037 | |
| Arizona | MEDICAID | 85134261 |
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