Individual
AMANDA ANNE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
996 NW CIRCLE BLVD, SUITE 101, CORVALLIS, OR 97330-1485
(541) 757-0878
(541) 757-0879
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00969336
RR MEDICARE
OR
Enumeration date
09/11/2008
Last updated
10/31/2011
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