Individual
SAMUEL STEPHEN COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
221 MOLALLA AVE, OREGON CITY, OR 97045-3071
(971) 256-6642
Mailing address
221 MOLALLA AVE, OREGON CITY, OR 97045-3071
(971) 256-6642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202109917NP-PP
OR
Other
Enumeration date
12/11/2021
Last updated
08/26/2025
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