Individual
SHAWNA COZENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
(503) 813-3799
Mailing address
PO BOX 5187, PORTLAND, OR 97208-5187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
12/20/2023
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