MEDICARE: MRS. SHERILYN MARIE FOLTZ COOK DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OP00002329	WA

General Provider Information

NPI Number	:	1013114586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERILYN MARIE FOLTZ COOK DO

Provider Business Mailing Address
First Line	:	16500 SE 15TH ST
Second Line	:	STE 100
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9666
Country	:	US
Telephone Number	:	360-254-4402
Fax Number	:	360-892-9241

Provider Business Practice Location Address
First Line	:	16500 SE 15TH ST
Second Line	:	STE 100
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9666
Country	:	US
Telephone Number	:	360-254-4402
Fax Number	:	360-892-9241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	03/20/2026

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