Provider Demographics
NPI:1548725112
Name:COCHRAN, JAMIE D (RN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:D
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:D
Other - Last Name:ROMANIN; MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17050 PILKINGTON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-6309
Mailing Address - Country:US
Mailing Address - Phone:564-225-0966
Mailing Address - Fax:866-522-6255
Practice Address - Street 1:17050 PILKINGTON RD STE 220
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-6309
Practice Address - Country:US
Practice Address - Phone:564-225-0966
Practice Address - Fax:866-522-6255
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201903858RN163W00000X
WARN61194004163W00000X
CA95126729163W00000X
WAAP61209567363LF0000X
OR201906641NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse