Emily Elizabeth Cooke, RDH, BSDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6364 Issued in OR

Practice address

1511 SW Chastain Ave
Gresham, OR 97080-9623

Phone

(503) 704-3999

NPI assigned

Apr 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428710400000",
    "number": "1215323779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SW CHASTAIN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970809623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SW CHASTAIN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970809623",
            "telephone_number": "503-704-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RDH, BSDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6364",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH 60296060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Contreras-Sandoval
• Kimberly Contreras, OTR/L
• Kristin Anne Contreras
• Heather Alison Cook, LMT
• Justina Marie Cook, CADCI,QMHA-R
• Gary Stewart Cooke, D.M.D.
• Andrew Cooley
• Alexandra Cooper, MA, QMHP
• Ann Charise Luciano Cooper, OTR/L
• Megan Mercedes Cooper

• Dental Hygienist in Gresham, OR
• Providers in Gresham, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; 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.