Heather Alison Cook, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

20464 Issued in OR

Practice address

223 E Powell Blvd
Gresham, OR 97030-7605

Phone

(503) 667-1500

NPI assigned

Oct 23, 2015

Last updated

Oct 23, 2015By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1770955262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14385 SE LUSTED RD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557551",
            "telephone_number": "575-312-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307605",
            "telephone_number": "503-667-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "HEATHER",
        "middle_name": "ALISON",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "20464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connected Space Counseling, LLC
• Caolan Donal Conry
• Dorothy Contreras-Sandoval
• Kimberly Contreras, OTR/L
• Kristin Anne Contreras
• Justina Marie Cook, CADCI,QMHA-R
• Emily Elizabeth Cooke, RDH, BSDH
• Gary Stewart Cooke, D.M.D.
• Andrew Cooley
• Alexandra Cooper, MA, QMHP

• Specialist in Gresham, OR
• Providers in Gresham, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.