RICHARD EDWARD COOKSLEY PA NPI 1942271192

NPI Information

  • NPI: 1942271192
  • Provider Name: RICHARD EDWARD COOKSLEY, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 115 S PINE ST
    CANYONVILLE, OR
    ZIP 97417
  • Phone: (541) 839-4211

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NPI Details

Richard Edward Cooksley, PA is a medical physician assistant in Canyonville, OR. Richard Edward Cooksley, PA NPI is 1942271192. 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:

115 S PINE ST
CANYONVILLE, OR
ZIP 97417-648
Phone: (541) 839-4211
Fax: (541) 839-4983

The NPI 1942271192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 10/18/2018.

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
1363AM0700XPhysician AssistantMedicalPA00272OREGONYes

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
1930087876OTHEROREGONRAILROAD MEDICARE
2PA00272OTHEROREGONSTATE LICENSE
3165878MEDICAIDOREGON

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: 11/21/2025

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