Dolores Y Cook, CHW
Individual provider Active NPI Community Health Worker · Canby, OR
NPI 1285487199 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1285487199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- THW000110609 (OR)
- Practice address
- 532 SE 9TH Ave
Canby, OR 97013-8770 - Phone
- (828) 465-9816
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000110609 | OR | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000110609 | OR | Yes |
Addresses
Primary practice location
532 SE 9TH Ave
Canby, OR 97013-8770
Mailing address
532 SE 9TH Ave
Canby, OR 97013-8770
Phone (828) 465-9816
Other providers in Canby, OR
- Daniel Chong
- Andrea R Christopher
- Clackamas County School District 86
- April D Clayton
- Katherine E Cobb
- Elizabeth Paige Cooper
- Lindsay Elizabeth Corbett-Reiser
- Steven G Corbett
- Michael T Csaszar
- David Clark Cummings
All providers in Canby, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.