JOSEPH SHANE COX

GRAND RONDE, OR
NPI1457157752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  T-24-4554)
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
JOSEPH SHANE COX
9605 GRAND RONDE RD
GRAND RONDE, OR 97347-9712
Phone number: 503-879-2060
Mailing Address
JOSEPH SHANE COX
9605 GRAND RONDE RD
GRAND RONDE, OR 97347-9712
Phone number: