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NPI Code Detail

MEDICARE: JOHN FOXWELL LPC

MEDICARE:   JOHN  FOXWELL  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YP2500XProfessional CounselorC5024OR

General Provider Information

NPI Number : 1245503663
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FOXWELL LPC
Provider Business Mailing Address
First Line : 10011 SE DIVISION ST STE 202
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1353
Country : US
Telephone Number : 503-928-3998
Fax Number :
Provider Business Practice Location Address
First Line : 10011 SE DIVISION ST STE 202
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1353
Country : US
Telephone Number : 503-928-3998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2012
Last Update Date : 03/27/2019

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Directions to “ JOHN FOXWELL LPC” Practice Location

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