MR. WADE HORTON COCKBURN MA PHD(C) NPI 1659510238

NPI Information

NPI: 1659510238
Provider Name: MR. WADE HORTON COCKBURN, MA, PHD(C)
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
805 NE RESERVOIR LN
TOLEDO, OR
ZIP 97391
Phone: (541) 336-2254
Get Directions

MR. Wade Horton Cockburn, MA, PHD(C) is a counselor in Toledo, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Wade Horton Cockburn, MA, PHD(C) NPI is 1659510238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

805 NE RESERVOIR LN
TOLEDO, OR
ZIP 97391-335
Phone: (541) 336-2254
Fax: (541) 336-1803

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		106	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	93-0698327	OTHER	OREGON	PRIVATE NONPROFIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »