Individual
LARRY J COHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 739-2586
Mailing address
2595 SAN FRANCISCO CT NE, SALEM, OR 97305-2676
(503) 739-2586
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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