Individual
MONICA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8214 SE 64TH AVE, PORTLAND, OR 97206-8802
(775) 225-4218
Mailing address
8214 SE 64TH AVE, PORTLAND, OR 97206-8802
(775) 225-4218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930128LPN
OR
164W00000X
Licensed Practical Nurse
LPN11274
NV
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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