Gary Allen Cochran in Salem - Addiction (substance Use Disorder)
Gary Allen Cochran - NPI 1629256151
Gary Allen Cochran is a Addiction (substance Use Disorder) in Salem, Oregon. Gary Allen Cochran practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary Allen Cochran is 1629256151. The last update date is 2008-02-06.
Gary Allen Cochran's current location address is 2586 12th Pl Se, Salem, Oregon. You can contact this provider via phone number 5033714160 and fax number 5033759727. The mailing address for Gary Allen Cochran is 2586 12th Pl Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Allen Cochran |
|---|---|
| Address | 2586 12th Pl Se, Salem, Oregon |
| Phone Number | 5033714160 |
| Fax Number | 5033759727 |
| Sole Proprietor | N |
| Credentials | CADC I |
NPI Number Detail
| NPI Number | 1629256151 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 2586 12th Pl Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973022536 |
| Phone Number | 5033714160 |
| Fax Number | 5033759727 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2008-03-11 0 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Gary Allen Cochran by the Centers for Medicare & Medicaid Services (CMS)?
The Gary Allen Cochran has been assigned the NPI (National Provider Identifier) 1629256151. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gary Allen Cochran's physical address?
The Gary Allen Cochran is physically located at 2586 12Th Pl Se, in the city of Salem, OR, with the postal code 973022536.
What is Gary Allen Cochran's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Allen Cochran is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629256151 to Gary Allen Cochran?
The Gary Allen Cochran received its 1629256151 assignment from the Centers for Medicare & Medicaid Services on 2008-02-06.
As of what date were the Gary Allen Cochran's details last updated?
The information pertaining to the Gary Allen Cochran, including its address, specialty, and other details, was most recently updated on 2008-02-06.
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