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

Leon E. McCook IV, MD

Individual provider Family Medicine Physician · NPI 1609175363

Leon E. McCook IV, MD is a Family Practice in Vancouver, Washington. Qualified in 2011, 15 years ago. Practices with Peacehealth, a 99-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
15
Licensed in
OR, WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone: (360) 735-8100
Show map & directions

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

Additional practice locations (3)

  • 1115 Village Dr., Cottage Grove, OR 97424 — (541) 767-5200
  • 417 Sw 117th Ave, Portland, OR 97225-5924 — (503) 216-1800
  • 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 — (833) 838-6307

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60782920 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD164579 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609175363
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2011
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Peacehealth — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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