Healthcare Provider Details

I. General information

NPI: 1548916174
Provider Name (Legal Business Name): ERIN COCHRAN-DAVIS LPCA, MS, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN COCHRAN LPC

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 JOHN DAY DR UNIT 104
EUGENE OR
97408-6029
US

IV. Provider business mailing address

2355 STATE ST STE 101
SALEM OR
97301-4541
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-4101
  • Fax:
Mailing address:
  • Phone: 541-632-4101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC11032
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: