Individual
DR. RICHARD COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 NW 6TH ST, GRANTS PASS, OR 97526-1094
(541) 476-7775
(541) 476-3572
Mailing address
1600 NW 6TH ST, GRANTS PASS, OR 97526-1094
(541) 476-7775
(541) 476-3572
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD10466
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232900
—
OR
Enumeration date
07/27/2005
Last updated
07/08/2007
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