MEDICARE: DR. BECKETT TEAL COHEN DC, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5635	OR
2	111N00000X	Chiropractor	CH61614028	WA

General Provider Information

NPI Number	:	1295121614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BECKETT TEAL COHEN DC, MS

Provider Business Mailing Address
First Line	:	1120 S G ST.
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98363
Country	:	US
Telephone Number	:	503-732-9740
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 E 1ST ST.
Second Line	:	SUITE 1A
City	:	PORT ANGELES
State	:	WA
Zip	:	98362
Country	:	US
Telephone Number	:	503-452-5010
Fax Number	:	360-452-5560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	03/03/2026

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