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MR. WADE HORTON COCKBURN MA, PHD(C)
NPI 1659510238
Counselor in Toledo, OR

Active since February 05, 2009
805 NE RESERVOIR LN, TOLEDO, OR 97391(541) 336-2254(541) 336-1803 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Wade Horton Cockburn Ma, Phd(c) NPPES

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

MR. WADE HORTON COCKBURN MA, PHD(C) (NPI 1659510238) is an individual counselor in Toledo, Oregon, licensed in Oregon (106) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1659510238
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. WADE HORTON COCKBURNCredential: MA, PHD(C)
Location Address805 NE RESERVOIR LNToledo, OR 97391-1335
Mailing Address805 Ne Reservoir LnToledo, OR 97391-1335 · (541) 336-2254 · Fax (541) 336-1803
Phone(541) 336-2254
Fax(541) 336-1803
Sole ProprietorNo
Enumeration DateFebruary 5, 2009
✔ NPI 1659510238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · 106
Definition
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.
805 NE RESERVOIR LN, Toledo, OR 97391
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Other Identifiers 1

Other93-0698327OR · Private Nonprofit

Other Providers at the Same Location NPPES 8

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

MR. RAY ALLAN BURLEIGH M.ED
Social Worker (School)
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MRS. ZANN MARIE JOHNSON QMHA
Contractor
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MRS. SANDEE D PENTER
Contractor
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MS. LINDA RAE SOROKIN B.A.
Counselor (Mental Health)
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MR. JOHN BRYON LARSEN B.S.
Counselor (Mental Health)
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
VANESSA JOHNSON QMHA
Contractor
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MS. ERIN CHRISTIAN DETRICK B.A.
Counselor (Mental Health)
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254
MS. SUSAN MILLER B.A.
Counselor (Mental Health)
805 NE RESERVOIR LN
TOLEDO, OR 97391
Lincoln County (541) 336-2254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Cockburn's NPI number?

The NPI number for Wade Cockburn is 1659510238. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Wade Cockburn located?

Wade Cockburn practices at 805 NE Reservoir Ln, Toledo, OR 97391. The listed phone number is (541) 336-2254.

What is Wade Cockburn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wade Cockburn was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.