MEDICARE: MR. SANFORD MICHAEL YOUNG COTA

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	224Z00000X	Occupational Therapy Assistant	1025394	OR

General Provider Information

NPI Number	:	1770776122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANFORD MICHAEL YOUNG COTA

Provider Business Mailing Address
First Line	:	4676 COMMERCIAL ST SE # A-29
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-399-0090
Fax Number	:

Provider Business Practice Location Address
First Line	:	4676 COMMERCIAL ST SE # A-29
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-399-0090
Fax Number	:

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

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	08/20/2007

Similar Medicare Providers

1417915356 — DR. GEARY JOE MICHELS D.C.
Practice Location Address:

4666 COMMERCIAL ST SE
SALEM, OR
97302-1902

Practice Phone: 503-399-7607
Practice Fax: 503-364-1060

1851484372 — RPJURA MEDICAL, PC
Practice Location Address:

4666 COMMERCIAL ST SE
SALEM, OR
97302-1902

Practice Phone: 503-399-7607
Practice Fax:

1922291459 — MRS. APRIL LYNN WALKER OTR
Practice Location Address:

4676 COMMERCIAL ST SE
SALEM, OR
97302-1902

Practice Phone: 503-302-5386
Practice Fax: 503-363-0766

1003089335 — GEARY J MICHELS, D.C., P.C
Practice Location Address:

4666 COMMERCIAL ST SE
SALEM, OR
97302-1902

Practice Phone: 503-399-7607
Practice Fax: 503-364-1016

1790268464 — SPINAL MED, INC.
Practice Location Address:

4676 COMMERCIAL ST SE STE 381
SALEM, OR
97302-1902

Practice Phone: 866-208-6520
Practice Fax: 503-433-1004

1073577888 — DR. BRIAN EDWIN WOOD D.O.
Practice Location Address:

1902 BRAEBURN DR STE 130
SALEM, VA
24153-7304

Practice Phone: 540-444-0460
Practice Fax:

Directions to “ MR. SANFORD MICHAEL YOUNG COTA” 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 © 2007-2026 (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.