Individual
EMMA JEWELL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2545 SE 18TH AVE, PORTLAND, OR 97202-1115
(503) 395-0105
Mailing address
1235 SE DIVISION ST, #206, PORTLAND, OR 97202-1099
(503) 395-0105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21950
OR
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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