DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD EDWARD COOKSLEY, PA

Active

RICHARD EDWARD COOKSLEY, PA is a Medical Physician Assistant healthcare provider located in CANYONVILLE, Oregon. NPI 1942271192 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CANYONVILLE, OR

Registration Details

NPI Number
1942271192
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2006 (20.520823188855 yrs)
Last Updated
Oct 18, 2018
License
PA00272 (OR)

Practice Information

Address
115 S PINE ST
CANYONVILLE, OR, 974179648
Browse OR providers · Browse ZIP 97417
Phone
5418394211
Fax
5418394983
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CANYONVILLE, OR

Name Credential NPI
JON DOUGLAS GAMBILL PA-C 1073586319
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.