Individual
JENNIFER ANN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12724 SE STARK ST BLDG H, PORTLAND, OR 97233-1539
(503) 253-3131
Mailing address
12724 SE STARK ST BLDG H, PORTLAND, OR 97233-1539
(503) 253-3131
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HA61276581
WA
237700000X
Hearing Instrument Specialist
Primary
HASP10241706
OR
Other
Enumeration date
10/25/2022
Last updated
05/02/2024
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