DR. MACKENZIE RAINIER COOK (NPI# 1497070486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497070486 |
| Entity Type | Individual |
| Full Name | DR. MACKENZIE RAINIER COOK |
| Credential | MD |
| Practice Address |
3181 Sw Sam Jackson Park Road Ohsu Portland OR 97239-2393 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Mail Code: L223 Portland OR 97239 |
| Practice Telephone | 5034945300 |
| Practice Fax Number | 5034946519 |
| Mailing Telephone | (860) 463-5727 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2017-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD184572 | OR | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD184572 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD184572 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902338 | Mackenzie Cook | Occupational Therapist | 7100 S Wilkinson Way, Perrysburg, OH 43551-2590 | 2016-02-18 |
| 1710409578 | Mackenzie Diane Cook | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2017-07-13 |
| Street Address |
3181 SW SAM JACKSON PARK ROAD OHSU |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653796 | Susan I Vangorder | Anesthesiology | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239-3098 | 2005-07-19 |
| 1447888193 | Jared Schaefer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-30 |
| 1831726603 | Charles Norval De Leeuw | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-23 |
| 1740742055 | Taesoo Kim | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1518429836 | Ellen Walford Green | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1760944169 | Joanna Jacobs | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-03 |
| 1225597388 | Nattapron Tun | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-03-18 |
| 1235625435 | Arisa Takeuchi | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2018-07-11 |
| 1235634619 | Patrick Anthony Hogan | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, 3181 Sw Sam Jackson Park Rd., L-579, Portland, OR 97239 | 2018-03-27 |
| 1356870190 | Colleen Osak Cooper | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776488 | Ts Billings, LLC | Surgery | 501 N Graham St Ste 130, Portland, OR 97227-1675 | 2006-07-22 |
| 1073564423 | Karen J Brasel | Surgery | 3181 Sw Sam Jackson Park Rd # L223, Portland, OR 97239-3011 | 2006-05-12 |
| 1598735490 | William Broughton Long IIi | Surgery | 501 N Graham, Suite # 580, Portland, OR 97227 | 2006-01-24 |
| 1134324551 | Laszlo Nicholas Kiraly | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2007-06-16 |
| 1285738310 | Maine Medical Partners | Surgery | 887 Congress St, Suite 210, Portland, ME 04102-3100 | 2006-09-11 |
| 1649389677 | Bruce Chung | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2006-08-30 |
| 1609882299 | Richard James Mullins | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1285615781 | Susan Rowell | Surgery | 3181 Sw Sam Jackson Park Rd, L611, Portland, OR 97239-3011 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134342538 | Snell Fontus, Md, LLC | Surgery | 1053 High St, Eugene, OR 97401-3205 | 2007-04-11 |
| 1922323831 | Alexis Marika Moren | Surgery | 890 Oak St Se, Salem, OR 97301-3905 | 2010-04-02 |
| 1194828533 | West Livaudais Jr. | Surgery | Salem Hospital, 665 Winter Street Se, Salem, OR 97309-5014 | 2006-09-07 |
| 1467485516 | Nicole Maria Vanderheyden | Surgery | 665 Winter St Se, Salem, OR 97301-3919 | 2006-07-09 |
Please comment or provide details below to improve the information on DR. MACKENZIE RAINIER COOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.