Kenneth Cox

Individual provider Active NPI Physical Therapist · Damascus, OR

NPI 1699190397 · NPPES record last updated Mar 4, 2014

Key facts

NPI
1699190397
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
22304 SE Sharon Dr
Damascus, OR 97089-9210
Phone
(503) 318-3991
NPI assigned
Mar 4, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

22304 SE Sharon Dr
Damascus, OR 97089-9210

Mailing address

22304 SE Sharon Drive
Damascus, OR 97089
Phone (503) 318-3991

Other providers in Damascus, OR

All providers in Damascus, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.