Basic Information
| Provider Information | |||||||||
| NPI: | 1326216227 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ELAINE COX | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | LOWER COLUMBIA OCCUPATIONAL HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 803 VANDERCOOK WAY, LOWER COLUMBIA OCCUPATIONAL HEALTH | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | LONGVIEW | ||||||||
| State: | WA | ||||||||
| PostalCode: | 97016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604148818 | ||||||||
| FaxNumber: | 3604148088 | ||||||||
| Practice Location | |||||||||
| Address1: | 803 VANDERCOOK WAY LOWR COLUMBIA | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | LONGVIEW | ||||||||
| State: | WA | ||||||||
| PostalCode: | 986324057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604148818 | ||||||||
| FaxNumber: | 3604148088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2008 | ||||||||
| LastUpdateDate: | 04/20/2008 | ||||||||
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| AuthorizedOfficialLastName: | COX | ||||||||
| AuthorizedOfficialFirstName: | ELAINE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3604314385 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | AP30005429 | WA | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.