Individual
CHAD COTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11555 SW CENTER ST APT 9, BEAVERTON, OR 97005-2283
(937) 238-2688
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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