Most Relevant Information
Provider Data
| NPI Number: | 1003284068 |
| Provider Name: | CARLA ANN COCHRAN NP-C, FNP, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 97764 |
Most Important Dates
| Enumeration Date: | 09/08/2015 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
555 BLACK OAK DR.
SUITE 300
MEDFORD
OR
975048491
Practice Location Phone/Fax
| Phone: | 9034630003 |
| Fax: |
Provider Mailing Location
2825 E BARNETT RD.
MSS
MEDFORD
OR
975048332
Provider Mailing Phone/Fax
| Phone: | 5417894281 |
| Fax: | 5417894806 |