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Deactivated NPI 1467677724 Deactivated / Inactive NPI Female Practitioner

Penny Joyce Cobb , NP

Nurse Practitioner • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Penny Cobb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2007
NPI Deactivation Date April 03, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Penny Cobb, NP was a registered Nurse Practitioner practicing in Portland, OR. Throughout an active medical career spanning 18 years, Penny Cobb provided care at the practice location at 3550 N INTERSTATE AVE until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

3550 N Interstate Ave

Portland, OR 972271196

Telephone 5033316465
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
132 Specialists

Practicing in Portland, OR (615 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 000029001N3

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Julie Matteson , ANP-C

Nurse Practitioner - Adult Health

NPI 1922111822

Adult Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3550 N INTERSTATE AVE, PORTLAND, OR 972271196 (Tel: 5033316465)

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Updated Business Mailing Address July 08, 2007

Registered at 3550 N INTERSTATE AVE, PORTLAND, OR 972271196 (Tel: 5033316465)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PENNY COBB, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #000029001N3 in OR)

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Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467677724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: July 08, 2007
Deactivation Date: April 03, 2025

Mailing Address

3550 N Interstate Ave

Portland, OR 972271196

Phone: 5033316465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.