Healthcare Provider Details

I. General information

NPI: 1679424170
Provider Name (Legal Business Name): JENNA-C H COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 NEW WAY
KLAMATH FALLS OR
97601-9382
US

IV. Provider business mailing address

3949 S 6TH ST STE A202
KLAMATH FALLS OR
97603-4792
US

V. Phone/Fax

Practice location:
  • Phone: 540-880-7841
  • Fax: 541-851-3983
Mailing address:
  • Phone: 541-880-7841
  • Fax: 541-851-3983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberT-24-4258
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: