Cox, Walter Gregory
Cox, Walter Gregory is an individual health care provider with primary practice located at 2130 Sw Jefferson St , Portland OR 97201-7709. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Cox, Walter Gregory can be contacted via phone (770) 363-6378.Contact Information
Primary practice address
2130 Sw Jefferson St
Portland OR 97201-7709
Phone: (770) 363-6378
Fax: (912) 264-1096
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Health Service | 103TH0100X |
Profile Details
NPI number | 1841310497 |
---|---|
LBN Legal business name | Cox, Walter Gregory |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Dec 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841310497 | NPPES |
Georgia | MEDICAID | 328437173B | |
Georgia | Other | 1362 |
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