Stacy Cohen

NPI #1952679169 in Beaverton, Oregon

Provider Information

NPI Number: 1952679169
Entity Type: Individual
Name: Stacy Cohen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Enumeration Date: Dec 2, 2011
Last Updated: Dec 2, 2011

Practice Location

Address: 15050 SW KOLL PKWY
Address 2: SUITE G
City: Beaverton
State: Oregon
ZIP Code: 97006-6001
Phone: (503) 439-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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