Individual
RICHARD CHARLES COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N GRAHAM ST STE 375, PORTLAND, OR 97227-2001
(503) 413-1600
(503) 413-1915
Mailing address
1702 SE 57TH AVE, PORTLAND, OR 97215-3405
(503) 234-3101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD09136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240504
—
OR
Enumeration date
07/17/2006
Last updated
02/04/2022
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