Provider Demographics
NPI:1326216227
Name:ELAINE COX
Entity Type:Organization
Organization Name:ELAINE COX
Other - Org Name:LOWER COLUMBIA OCCUPATIONAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-431-4385
Mailing Address - Street 1:803 VANDERCOOK WAY, LOWER COLUMBIA OCCUPATIONAL HEALTH
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:97016
Mailing Address - Country:US
Mailing Address - Phone:360-414-8818
Mailing Address - Fax:360-414-8088
Practice Address - Street 1:803 VANDERCOOK WAY LOWR COLUMBIA
Practice Address - Street 2:SUITE 2
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4057
Practice Address - Country:US
Practice Address - Phone:360-414-8818
Practice Address - Fax:360-414-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005429363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA=========OtherEIN #