Most Relevant Information
Provider Data
| NPI Number: | 1003521824 |
| Provider Name: | GORDON COGAN ND |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/16/2023 |
| Last Updated: | 12/07/2023 |
Provider Practice Location
5119 E BURNSIDE ST
PORTLAND
OR
972151152
Practice Location Phone/Fax
| Phone: | 9712636190 |
| Fax: |
Provider Mailing Location
5119 E BURNSIDE ST
PORTLAND
OR
972151152
Provider Mailing Phone/Fax
| Phone: | 9712636190 |
| Fax: |