Individual
DR. MAXWELL JOEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3016
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500696221
—
OR
Enumeration date
10/01/2015
Last updated
10/18/2023
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