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
Fax: (912) 264-1096
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841310497 NPPES
Georgia MEDICAID 328437173B
Georgia Other 1362

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