Individual
RENA I COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-0160
(541) 966-9830
(541) 278-7572
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
OOOOO8348CNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
06/16/2010
Last updated
06/16/2010
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