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General NPI Number Information
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NPI Number | 1588539803
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Entity Type | Individual
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Provider Name | ERIC PAUL COCKE RRT
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Gender | Male
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 9280 SE SUNNYBROOK BLVD STE 300
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City | CLACKAMAS
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State | OR
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Zip | 97015-9353
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Country | US
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Telephone | 503-233-5548
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Fax |
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Provider Business Mailing Address
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Address Line | 3809 N ATTU ST
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City | PORTLAND
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State | OR
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Zip | 97217-7401
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Country | US
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Telephone | 503-933-6576
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | RT-P-10235757
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License Number State | OR
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