| Cognicare Northwest LLC | |
|
785 Nw 178th Ave Beaverton OR 97006-4047 | |
| (314) 983-9355 | |
| Not Available |
| Full Name | Cognicare Northwest LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 785 Nw 178th Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Jason K Rhodes (OWNER) |
| Authorized Official Contact | 4246228428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognicare Northwest LLC 785 Nw 178th Ave Beaverton OR 97006-4047 | Cognicare Northwest LLC 785 Nw 178th Ave Beaverton OR 97006-4047 Ph: (314) 983-9355 |
| NPI Number | 1518798560 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518798560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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