Individual
ROBERT LOUIS FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601004311
MI
363A00000X
Physician Assistant
Primary
PA200592
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500786344
—
OR
Enumeration date
06/27/2006
Last updated
12/07/2020
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