| Donald D. Cohen, Ph.d., P.c. | |
|
511 Sw 10th Ave Ste 604 Portland OR 97205-2707 | |
| (503) 238-5557 | |
| (503) 234-7166 |
| Full Name | Donald D. Cohen, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 511 Sw 10th Ave Ste 604, Portland, Oregon |
| Authorized Official Name and Position | Donald D. Cohen (OWNER) |
| Authorized Official Contact | 5032385557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald D. Cohen, Ph.d., P.c. 511 Sw 10th Ave Ste 604 Portland OR 97205-2707 Ph: (503) 238-5557 | Donald D. Cohen, Ph.d., P.c. 511 Sw 10th Ave Ste 604 Portland OR 97205-2707 Ph: (503) 238-5557 |
| NPI Number | 1568739837 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Medicare PECOS PAC ID | 4880851039 |
|---|---|
| Medicare Enrollment ID | O20120131000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568739837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1059 (Oregon) | Primary |
| Provider Name | Donald D Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528111804 PECOS PAC ID: 1951568112 Enrollment ID: I20120131000701 |
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