DONALD D. COHEN, PH.D., P.C.
Ambulatory Health at 10 Ave, Portland, OR

License number
Oregon 1059
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. DONALD D. COHEN PH.D.
Title: OWNER
Phone: (503) 238-5557
Address
Address
511 SW 10Th Ave STE 604, Portland, OR 97205
National Provider ID: 1568739837
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DONALD D. COHEN, PH.D., PC

Portland, OR

Industry:
Health Practitioner's Office
Doing business as:
Donald D Cohen PH.D
Registration:
Mar 31, 2010
Addresses:
511 SW 10 Ave STE 604, Portland, OR 97205 (Mailing)
511 SW 10 Ave #604, Portland, OR 97205 (Physical)
State ID:
67683798
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owner, Social Worker:
Donald D. Cohen (Owner, Social Worker)
Agent:
Donald Dcohen,511 SW 10 Ave STE 604, Portland, OR 97205 (Physical)

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