Individual
STACY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15050 SW KOLL PKWY, SUITE G, BEAVERTON, OR 97006-6001
(503) 439-9494
(503) 645-4404
Mailing address
15050 SW KOLL PKWY, SUITE G, BEAVERTON, OR 97006-6001
(503) 439-9494
(503) 645-4404
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
5110
OR
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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