Doctor Name: | AMANDA ANNE COCHRAN |
NPI Number: | 1619126844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 5445 |
Business Practice Address: | 996 Nw Circle Blvd Suite 101 Corvallis, OR - 973301485 |
Business Phone Number: | 5417570878 |
Business Fax Number: | 5417570879 |
Mailing Address: | 11481 Sw Hall Blvd, Suite 201 PORTLAND |
State: | OR |
Postal Code: | 972238403 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |