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Individual

STANLEY L COHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9427 SW BARNES RD, SUITE 595, PORTLAND, OR 97225-6652
(503) 216-1150
(503) 216-1066
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD22113
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138046
OR
01
P00464785
RR MEDICARE
OR
Enumeration date
12/31/2007
Last updated
11/15/2021
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