Cooke, Gary Stewart
Cooke, Gary Stewart is an sole proprietor health care provider with primary practice located at 490 E Powell Blvd , Gresham OR 97030-7610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cooke, Gary Stewart can be contacted via phone (503) 665-6166.Contact Information
Primary practice address
490 E Powell Blvd
Gresham OR 97030-7610
Phone: (503) 665-6166
Fax: (503) 661-7236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4712 | Oregon |
Profile Details
| NPI number | 1750587085 |
|---|---|
| LBN Legal business name | Cooke, Gary Stewart |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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