Individual
CARLA ANN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, FNP, AGACNP-BC
Contact information
Practice address
555 BLACK OAK DR., SUITE 300, MEDFORD, OR 97504-8491
(903) 463-0003
Mailing address
2825 E BARNETT RD., MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201908955NP
OR
363LA2100X
Acute Care Nurse Practitioner
97764
OK
363LF0000X
Family Nurse Practitioner
771115
TX
363LF0000X
Family Nurse Practitioner
AP128979
TX
Other
Enumeration date
09/08/2015
Last updated
12/28/2022
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