Healthcare Provider Details

I. General information

NPI: 1932034972
Provider Name (Legal Business Name): FOX PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 E 13TH AVE STE 213
EUGENE OR
97401-4268
US

IV. Provider business mailing address

1711 WILLAMETTE ST SU 301 PMB 234
EUGENE OR
97401
US

V. Phone/Fax

Practice location:
  • Phone: 458-215-1454
  • Fax: 541-458-4529
Mailing address:
  • Phone: 458-215-1454
  • Fax: 541-485-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN HILLEL FOX
Title or Position: LMFT
Credential: LMFT
Phone: 458-215-1454