Cockrell, Janice L.

Cockrell, Janice L. is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Suite 2225, Portland OR 97227-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Cockrell, Janice L. can be contacted via phone (503) 413-4505.

Contact Information

Primary practice address
2801 N Gantenbein Ave Suite 2225 Portland OR 97227-1623
Phone: (503) 413-4505
Fax: (503) 413-4719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 17561 Oregon

Profile Details

NPI number 1730154618
LBN Legal business name Cockrell, Janice L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730154618 NPPES
Oregon MEDICAID 038369

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