Individual
DR. DENNIS M COZZOCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8905 SW NIMBUS AVE STE 140, BEAVERTON, OR 97008-7103
(503) 512-9591
(971) 350-1243
Mailing address
8905 SW NIMBUS AVE STE 140, BEAVERTON, OR 97008-7103
(503) 512-9591
(971) 350-1243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5688
OR
111N00000X
Chiropractor
CH00002538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336954900
FEDERAL L & I
—
01
—
350037378
RAILROAD MEDICARE
—
01
—
70825
L & I
WA
01
—
91150448300
BETTERS WORKERS COMP
OH
Enumeration date
11/08/2006
Last updated
04/10/2026
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