| Brian G Cox Lcsw Pc | |
|
1450 Ne Village St Fairview OR 97024-3827 | |
| (503) 492-4492 | |
| (503) 492-0855 |
| Full Name | Brian G Cox Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1450 Ne Village St, Fairview, Oregon |
| Authorized Official Name and Position | Brian Cox (OWNER) |
| Authorized Official Contact | 5032018122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G Cox Lcsw Pc 1450 Ne Village St Fairview OR 97024-3827 Ph: (503) 492-4492 | Brian G Cox Lcsw Pc 1450 Ne Village St Fairview OR 97024-3827 Ph: (503) 492-4492 |
| NPI Number | 1699984294 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699984294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2785 (Oregon) | Primary |
Bean Bag Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 6th St, Fairview, OR 97024 Phone: 818-579-2029 |