MEDICARE: MR. JEFFREY DANIEL COX PT, DPT, OCS

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
1	225100000X	Physical Therapist	8230	CO
2	225100000X	Physical Therapist	OR4764	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300622007	OTHER	OR	REGENCE ADVANTAGE & PREFE
2	825473007	OTHER	OR	REGENCE PPO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326026758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY DANIEL COX PT, DPT, OCS

Provider Business Mailing Address
First Line	:	1905 SE 192ND AVE STE 109
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-7415
Country	:	US
Telephone Number	:	360-210-5440
Fax Number	:	602-107-7313

Provider Business Practice Location Address
First Line	:	1554 GARDEN ST STE 103
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3278
Country	:	US
Telephone Number	:	503-723-0347
Fax Number	:	503-655-9305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	05/13/2024

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Directions to “ MR. JEFFREY DANIEL COX PT, DPT, OCS” Practice Location

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