Provider Demographics
NPI:1881670644
Name:HOOK, JEFFREY WARREN (CORPSMAN)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:WARREN
Last Name:HOOK
Suffix:
Gender:M
Credentials:CORPSMAN
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Mailing Address - Street 1:2185 SE 12TH PL
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-9311
Mailing Address - Country:US
Mailing Address - Phone:503-861-6492
Mailing Address - Fax:503-861-6358
Practice Address - Street 1:2185 SE 12TH PL
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:OR
Practice Address - Zip Code:97146-9311
Practice Address - Country:US
Practice Address - Phone:503-861-6492
Practice Address - Fax:503-861-6358
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist