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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730154618 | NPPES |
| Oregon | MEDICAID | 038369 |
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