Jesse Cook, M.S., SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16730 Issued in OR

Practice address

7725 SE 19TH Ave
Portland, OR 97202-6208

Phone

(909) 912-2863

NPI assigned

Apr 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1720669112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 SE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026208",
            "telephone_number": "909-912-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 SE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026208",
            "telephone_number": "909-912-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JESSE",
        "credential": "M.S., SLP-CF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kirkpatrick Cook, MSN, BSN, RN
• Cheryl L. Cook, QMHP
• Devin Cook
• Harper Cook
• Heather R Cook, OD
• Jonathan Christian Cook, MD
• Joshua Lawrence Cook
• Justin O Cook, MD
• Katherine E Cook, MS
• Kathleen Cook, CRNA

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.