Healthcare Provider Details

I. General information

NPI: 1093595217
Provider Name (Legal Business Name): AMELIA R COHN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 LANCASTER DR NE
SALEM OR
97301-1930
US

IV. Provider business mailing address

4072 CHAPEL DR SE APT 186
SALEM OR
97302-3885
US

V. Phone/Fax

Practice location:
  • Phone: 503-339-7351
  • Fax:
Mailing address:
  • Phone: 541-588-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number5028
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: