Individual
JESSE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SE 2ND AVE, PORTLAND, OR 97214-1000
(503) 231-6300
Mailing address
3616 SE 181ST AVE, VANCOUVER, WA 98683-8265
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
209133
OR
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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