Individual
DR. MARK H KOHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1525 NE WEIDLER ST, SUITE 101, PORTLAND, OR 97232-1410
(503) 287-4975
(503) 287-0212
Mailing address
1525 NE WEIDLER ST, SUITE 101, PORTLAND, OR 97232-1410
(503) 287-4975
(503) 287-0212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268052
—
OR
Enumeration date
12/28/2006
Last updated
07/09/2007
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