Janice L. Cockrell in Portland - Pediatric Rehabilitation Medicine

Janice L. Cockrell - NPI 1730154618

Janice L. Cockrell is a Pediatric Rehabilitation Medicine in Portland, Oregon. Janice L. Cockrell practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Janice L. Cockrell is 1730154618. The last update date is 2011-03-04.

Janice L. Cockrell's current location address is 2801 N Gantenbein Ave, Portland, Oregon. You can contact this provider via phone number 5034134505 and fax number 5034134719. The mailing address for Janice L. Cockrell is 2801 N Gantenbein Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice L. Cockrell
Address 2801 N Gantenbein Ave, Portland, Oregon
Phone Number 5034134505
Fax Number 5034134719
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730154618
Provider Enumeration Date 2006-02-22
Last Updated Date 2011-03-04

Provider Mailing Address Detail

Address 2801 N Gantenbein Ave
City Portland
State Oregon (OR)
Post Code 972271623
Phone Number 5034134505
Fax Number 5034134719

Provider's Primary Taxonomy Detail

Speciality Pediatric Rehabilitation Medicine
Taxonomy 2081P0010X
Licence No 17561
Definition:
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38369 OR --

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FAQs about Janice L. Cockrell

What is the unique 10-digit identifier code issued to Janice L. Cockrell by the Centers for Medicare & Medicaid Services?

The Janice L. Cockrell has been assigned the NPI (National Provider Identifier) 1730154618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Janice L. Cockrell's facilities are situated?

The facilities of Janice L. Cockrell are physically located at the following address: 2801 N Gantenbein Ave, Portland, OR, 972271623.

On what date was the 1730154618 assigned to Janice L. Cockrell?

The Janice L. Cockrell was issued its 1730154618 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Janice L. Cockrell receive the assignment of its 1730154618 from the Centers for Medicare & Medicaid Services?

The Janice L. Cockrell was issued its 1730154618 by the Centers for Medicare & Medicaid Services on 2006-02-22.

As of what date was the information pertaining to Janice L. Cockrell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Janice L. Cockrell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-04.

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