Individual
MR. DANIEL LEE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1489 9TH ST, ASTORIA, OR 97103-5222
(503) 819-7658
Mailing address
1489 9TH ST, ASTORIA, OR 97103-5222
(503) 819-7658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11952
OR
174400000X
Specialist
MA00023340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11952
LICENSED MASSAGE THERAPIS
OR
01
—
MA00023340
MASSAGE PRACTITIONER
WA
Enumeration date
05/17/2007
Last updated
10/31/2019
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