MEDICARE: MR. GARY STEVEN COHEN QMHA, CADC I

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1487856506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY STEVEN COHEN QMHA, CADC I

Provider Business Mailing Address
First Line	:	4000 AUMSVILLE HWY SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-9112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 AUMSVILLE HWY SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-9112
Country	:	US
Telephone Number	:	503-566-6932
Fax Number	:

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518099522 — ALLYN HEALTHCARE PROFESSIONALS, LLC
Practice Location Address:

5530 ANGEL OAKS DR
WINSTON SALEM, NC
27105-9112

Practice Phone: 336-377-9190
Practice Fax: 336-377-2544

1417139494 — LISA MICHELLE STEWART PH.D.
Practice Location Address:

4000 AUMSVILLE HWY SE , MARION COUNTY JAIL
SALEM, OR
97317-9112

Practice Phone: 503-581-1183
Practice Fax:

1871808717 — CASSANDRA MARIE STURTZ
Practice Location Address:

4005 AUMSVILLE HWY SE
SALEM, OR
97317-9112

Practice Phone: 503-378-2144
Practice Fax: 503-378-2184

1205706959 — EBONY MALDONADO
Practice Location Address:

5580 ANGEL OAKS DR
WINSTON SALEM, NC
27105-9112

Practice Phone: 929-351-7288
Practice Fax:

1033089719 — YAHWEH HEALING MINDS COMMUNITY CARE LLC
Practice Location Address:

5580 ANGEL OAKS DR
WINSTON SALEM, NC
27105-9112

Practice Phone: 929-351-7288
Practice Fax:

1841529955 — DR. ANDREW ISAKSEN D.C.
Practice Location Address:

1797 LANSING AVE NE
SALEM, OR
97301-8732

Practice Phone: 503-391-9112
Practice Fax: 866-486-2406

Directions to “ MR. GARY STEVEN COHEN QMHA, CADC I” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.