Active NPI
Mackenzie Rainier Cook, MD
- Trauma Surgery Physician
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 60642364
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 501-3500
- Fax
- (360) 501-3555
- NPI assigned
- Apr 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | MD184572 | OR | |
| Surgery Physician | 208600000X | MD184572 | OR | |
| Surgical Critical Care Physician | 2086S0102X | MD184572 | OR | |
| Surgery Physician | 208600000X | 60642364 | WA | |
| Trauma Surgery Physician | 2086S0127X | 60642364 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (860) 463-5727
Other practice location 1
3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 222-2720
Other practice location 2
505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965
Phone (360) 514-1854
Other practice location 3
3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239-2393
Phone (503) 494-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171009003434 | OR | Practitioner - General Surgery | 1153566807 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12914 NE 37TH St
Vancouver, WA 98682-7626
1615 Delaware St
Longview, WA 98632-2394
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD184572 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Past | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#L223
Portland, OR 97239
Phone (503) 494-7344
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
Interoperability endpoints
- mcookmd38316@direct.ohsu.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1497070486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "860-463-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-501-3500",
"fax_number": "360-501-3555"
}
],
"practiceLocations": [
{
"address_1": "3355 Riverbend Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974778800",
"country_code": "US",
"telephone_number": "541-222-2720",
"fax_number": "541-222-8376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 NE 87th Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-514-1854",
"fax_number": "360-514-6063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Park Road",
"address_2": "OHSU",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392393",
"country_code": "US",
"telephone_number": "503-494-5300",
"fax_number": "503-494-6519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "MACKENZIE",
"middle_name": "RAINIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-01",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OR",
"license": "MD184572",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD184572",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OR",
"license": "MD184572",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "60642364",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WA",
"license": "60642364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.