Individual
ASHLEY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 505-1408
Mailing address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 505-1408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-04-20049
OR
Other
Enumeration date
03/17/2018
Last updated
02/06/2024
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