Look up the most recent NPI and PECOS records

Maxwell Joel Cohen

Naturopath

Other Service Providers

727 W Burnside St, Portland, OR 97209-3514

PECOS Enrollment

Based on the most recent information from CMS, provider Maxwell Joel Cohen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1164892287
Provider Type
Individual
Full Name
Cohen, Maxwell Joel
Title
Dr.
Credential
N.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/1/2015
Last Updated
10/18/2023

Contact Information

Practice Location

727 W Burnside St, Portland, OR 97209-3514

(503) 228-4533

Unlisted Fax

Mailing Location

232 NW 6th Ave, Portland, OR 97209-3609

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 175F00000X Primary	Description Naturopath Other Service Providers	License 3016 Oregon

Provider Identifiers

ID	Description	Issuer
ID 500696221	Description Medicaid	Issuer Unlisted Oregon

Maxwell Joel Cohen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Esteves, Vanessa

Gutierrez, Kimberly Sue

Glow Healthcare Integrative Medicine

Mcclure, Christine

Dunlap, Corina L

Skinner, Carrie Annie

Linder, Linne Tiffany

Radie, Christina Sahni

Welch, Kendall

Parker, Della A