Provider Demographics
NPI:1912207945
Name:COHEN OCCUPATIONAL MEDICINE, LLC
Entity Type:Organization
Organization Name:COHEN OCCUPATIONAL MEDICINE, LLC
Other - Org Name:THE HEALTHY WORKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:509-480-1320
Mailing Address - Street 1:210 S 11TH AVE
Mailing Address - Street 2:SUITE 44
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3293
Mailing Address - Country:US
Mailing Address - Phone:509-480-1320
Mailing Address - Fax:
Practice Address - Street 1:210 S 11TH AVE
Practice Address - Street 2:SUITE 44
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3293
Practice Address - Country:US
Practice Address - Phone:509-480-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000435272083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty