Cocks Medical.LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COCKS MEDICAL.LLC

Doing business as

Pinnacle Natural Health Clinic

Practice address

2115 SE 192ND Ave
Camas, WA 98607-7444

Phone

(360) 798-8727

NPI assigned

Oct 3, 2017

Organization subpart

Yes

Parent organization

COCKS MEDICAL, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cesilie Cocks, NDNPI 1649673666

Title

Owner and Physician

Phone

(360) 798-8727

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Natural Health Clinic Doing business as

Part of

Cocks Medicalllc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cesilie Cocks, ND

  • Family Medicine Physician
  • Portland, OR
  • NPI 1649673666
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1083124192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 NE 139TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826346",
            "telephone_number": "360-798-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE 192ND AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077444",
            "telephone_number": "360-798-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKS MEDICAL.LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCKS MEDICAL, LLC",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "COCKS",
        "authorized_official_first_name": "CESILIE",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "360-798-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Natural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Johnson Clark, MA, LPC, LMHC
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• Family Medicine Physician in Camas, WA
• Providers in Camas, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.