Individual
STEFANI K COZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6506
(503) 331-6051
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6506
(503) 331-6051
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
022594
OR
237600000X
Audiologist-Hearing Aid Fitter
1003982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198099
LABOR & INDUSTRIES
WA
Enumeration date
08/09/2005
Last updated
01/06/2009
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