Richard Edward Cooksley, PA
NPI #1942271192 in Canyonville, Oregon
Provider Information
- NPI Number
- 1942271192
- Entity Type
- Individual
- Name
- Richard Edward Cooksley, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Oct 18, 2018
Practice Location
- Address
- 115 S PINE ST
- City
- Canyonville
- State
- Oregon
- ZIP Code
- 97417-9648
- Phone
- (541) 839-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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