Healthcare Provider Details

I. General information

NPI: 1447987060
Provider Name (Legal Business Name): AMANDA JO COX PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 W MARINE VIEW DR STE 109
EVERETT WA
98201-2094
US

IV. Provider business mailing address

399 E 10TH AVE
EUGENE OR
97401-3380
US

V. Phone/Fax

Practice location:
  • Phone: 425-478-6100
  • Fax: 425-252-8637
Mailing address:
  • Phone: 541-868-2004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202214284NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61335579
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: