Cohen, Maxwell Joel

Cohen, Maxwell Joel is an individual health care provider with primary practice located at 727 W Burnside St , Portland OR 97209-3514. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Cohen, Maxwell Joel can be contacted via phone (503) 228-4533.

Contact Information

Primary practice address
727 W Burnside St Portland OR 97209-3514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 3016 Oregon

Profile Details

NPI number 1164892287
LBN Legal business name Cohen, Maxwell Joel
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164892287 NPPES
Oregon MEDICAID 500696221

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