Individual
ANDREA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 SE 11TH AVE # 202, PORTLAND, OR 97214-2411
(971) 303-2394
(855) 255-2819
Mailing address
10080 SE SHADY LN, DAMASCUS, OR 97089-6304
(971) 303-2394
(855) 225-2819
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10172441
OR
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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