Gary Stewart Cooke in Gresham - General Practice
Gary Stewart Cooke - NPI 1750587085
Gary Stewart Cooke is a General Practice in Gresham, Oregon. Gary Stewart Cooke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Stewart Cooke is 1750587085. The last update date is 2007-07-08.
Gary Stewart Cooke's current location address is 490 E Powell Blvd, Gresham, Oregon. You can contact this provider via phone number 5036656166 and fax number 5036617236. The mailing address for Gary Stewart Cooke is 490 E Powell Blvd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Stewart Cooke |
|---|---|
| Address | 490 E Powell Blvd, Gresham, Oregon |
| Phone Number | 5036656166 |
| Fax Number | 5036617236 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1750587085 |
|---|---|
| Provider Enumeration Date | 2007-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 490 E Powell Blvd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307610 |
| Phone Number | 5036656166 |
| Fax Number | 5036617236 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4712 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Gary Stewart Cooke by the Centers for Medicare & Medicaid Services?
The Gary Stewart Cooke has been assigned the NPI (National Provider Identifier) 1750587085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gary Stewart Cooke is located?
The Gary Stewart Cooke is situated at the following address: 490 E Powell Blvd, Gresham, OR, 970307610.
What is the Gary Stewart Cooke's specialty and taxonomy code?
The Gary Stewart Cooke's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750587085 to Gary Stewart Cooke?
The Gary Stewart Cooke received its 1750587085 assignment from the Centers for Medicare & Medicaid Services on 2007-06-24.
As of what date were the details pertaining to Gary Stewart Cooke last refreshed?
The information related to the Gary Stewart Cooke, including its address, specialty, and other relevant details, was last updated on 2007-07-08.