| Louis Theodore Cohen, DO | |
|
10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | |
| (503) 513-8695 | |
| (503) 513-8866 |
| Full Name | Louis Theodore Cohen |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 26 Years |
| Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467492629 | NPI | - | NPPES |
| P00424829 | Other | OR | RR MEDICARE (PH&S)-PMG |
| 006014 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO26598 (Oregon) | Secondary |
| 208M00000X | Hospitalist | DO26598 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Theodore Cohen, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Louis Theodore Cohen, DO 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 513-8695 |
Dr. Swapna Nonesupplied Chennareddygari, MBBS Hospitalist Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 | |
Carolyn A Sites, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8641 | |
Dr. Brian Hanks, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 |