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General NPI Number Information
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NPI Number | 1629349519
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Entity Type | Organization
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Legal Business Name | KOHN, INC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 1962 NW KEARNEY ST SUITE 206
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City | PORTLAND
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State | OR
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Zip | 97209-1400
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Country | US
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Telephone | 503-221-8707
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Fax | 503-221-8705
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Provider Business Mailing Address
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Address Line | 1962 NW KEARNEY ST SUITE 206
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City | PORTLAND
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State | OR
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Zip | 97209-1400
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Country | US
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Telephone | 503-221-8707
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Fax | 503-221-8705
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL EVAN KOHN
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Credential | PMHNP
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Telephone | 503-221-8707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 000035487N6
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License Number State | OR
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