MS. DIANE M COCKBURN ANP
NPI 1275627325
Nurse Practitioner - Adult Health in Portland, OR

Q: What is Diane Cockburn's NPI number?

The NPI number for Diane Cockburn is 1275627325. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Diane Cockburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Diane Cockburn was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2006PECOS Enrolled

3600 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6500(503) 331-6505 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Diane M Cockburn Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANE M COCKBURN ANP (NPI 1275627325) is an individual adult health provider in Portland, Oregon, licensed in Oregon (200250099) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275627325

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. DIANE M COCKBURNCredential: ANP

Location Address3600 N INTERSTATE AVEPortland, OR 97227-1106

Mailing Address3600 N Interstate AvePortland, OR 97227-1106 · (503) 331-6500 · Fax (503) 331-6505

Phone(503) 331-6500

Fax(503) 331-6505

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1275627325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OR · 200250099

3600 N INTERSTATE AVE, Portland, OR 97227

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Other Identifiers 1

Medicaid100111OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diane M Cockburn Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID WEI KUO LIN M.D.

Otolaryngology

3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227

Multnomah County (503) 331-6085

DR. LYNETTE SANTOS MALIK M.D.

Physical Medicine & Rehabilitation (Sports Medicine)

3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227

Multnomah County (503) 331-3070

DR. RYO A. SHOHARA M.D.

Internal Medicine (Hematology & Oncology)