Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan C Cook, DO

Individual provider Dermatology Physician · NPI 1588041719

Jordan C Cook, DO is a Dermatology in Springfield, Oregon. Qualified in 2016, 10 years ago. Practices with Evergreen Dermatology, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
10
Licensed in
MT, OR
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

21 Hayden Bridge Way
Springfield, OR 97477-1305
Phone: (541) 600-2017
Fax: (541) 225-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DO221863 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)
Dermatology Physician Taxonomy 207N00000X · Licence 87784 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588041719
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address21 Hayden Bridge Way, Springfield, OR 97477-1305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Evergreen Dermatology, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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