Healthcare Provider Details

I. General information

NPI: 1154395580
Provider Name (Legal Business Name): BARBARA A. COX DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 STONE ST STE 203
AUGUSTA ME
04330-5209
US

IV. Provider business mailing address

14120 BEEMER WAY
OREGON CITY OR
97045-1122
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-8411
  • Fax:
Mailing address:
  • Phone: 207-458-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1597
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number1597
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: