Individual
PENNY L COSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 E MAIN ST, ROGUE RIVER, OR 97537-9419
(541) 582-3522
(541) 582-4556
Mailing address
PO BOX 1573, ROGUE RIVER, OR 97537-1573
(541) 582-3522
(541) 582-4556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9633
OR
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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