Individual
KENNETH COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(650) 723-5070
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
G32579
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD08280
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G325790
—
CA
05
—
MD08280
—
OR
Enumeration date
11/17/2006
Last updated
12/28/2016
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