Individual
LOUIS THEODORE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8695
(503) 513-8866
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO26598
OR
208M00000X
Hospitalist Physician
Primary
DO26598
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006014
—
OR
01
—
P00424829
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
06/07/2006
Last updated
11/29/2021
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