TERRENCE EARL ETHAN COOKE

TIGARD, OR
NPI1841086105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4530)
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
TERRENCE EARL ETHAN COOKE
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
Mailing Address
TERRENCE EARL ETHAN COOKE
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 971-666-8357
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