Joshua Lawrence Cook | Portland, OR • PECOS Search

Joshua Lawrence Cook

Social Worker

Behavioral Health & Social Service Providers

3415 SE Powell Blvd, Portland, OR 97202-3371

(503) 234-9591 (503) 839-2316

PECOS Enrollment

Based on the most recent information from CMS, provider Joshua Lawrence Cook does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1528248705
Provider Type
Individual
Full Name
Cook, Joshua Lawrence
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
11/6/2007
Last Updated
11/6/2007

Contact Information

Practice Location

3415 SE Powell Blvd, Portland, OR 97202-3371

Unlisted Fax

Mailing Location

3040 SW 15th Ct, Gresham, OR 97080-5750

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer