Individual
MARK J COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, ARNP
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-4026
Mailing address
1319 NW 110TH ST, VANCOUVER, WA 98685-4042
(503) 317-2084
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
085073617CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP300005237
WA
367500000X
Certified Registered Nurse Anesthetist
AP30005237
WA
Other
Enumeration date
09/07/2005
Last updated
06/10/2024
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