IndividualActive
Diane Cockburn, ANP
NPI 1275627325 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1275627325
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 200250099 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3600 N Interstate Ave
Portland, OR 97227-1106
Phone: (503) 331-6500
Fax: (503) 331-6505
Approximate (ZIP-level) locationGet directions
Mailing address
3600 N Interstate Ave
Portland, OR 97227-1106
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.