Individual
HEIDI M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, RN
Contact information
Practice address
4440 S CORBETT AVE STE 202, PORTLAND, OR 97239-4275
(503) 313-2602
Mailing address
8107 N VAN HOUTEN AVE, PORTLAND, OR 97203-6073
(503) 313-2602
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219006
OR
Other
Enumeration date
05/13/2024
Last updated
12/16/2024
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