Krystle Cooke
Krystle Cooke is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
17640 NE Halsey StPortland, OR 97230-6733
Phone: (503) 489-5045
Fax: (503) 489-5638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578833349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 10, 2012 |
| Last updated in NPPES | October 5, 2019 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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