Individual
GARY J COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-CRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 203-2114
Mailing address
2323 SW 22ND ST, TROUTDALE, OR 97060-1248
(503) 789-5670
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200360023CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
3061
CA
Other
Enumeration date
08/19/2006
Last updated
10/10/2009
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