Provider Demographics
NPI:1063606374
Name:COCHRANE, ROCHELLE DEANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:DEANNE
Last Name:COCHRANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532
Mailing Address - Country:US
Mailing Address - Phone:800-888-9960
Mailing Address - Fax:360-748-3869
Practice Address - Street 1:2517 NE KRESKY AVENUE
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2409
Practice Address - Country:US
Practice Address - Phone:360-748-8632
Practice Address - Fax:360-748-3869
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104458207W00000X
AK159123207W00000X
WAMD61054774207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK171923OtherMEDICARE AK
WA2167179Medicaid
WAG9017174OtherMEDICARE WA
WAG9017171OtherMEDICARE WA
WAG9017173OtherMEDICARE WA
WAG9017172OtherMEDICARE WA
AK1708987Medicaid