Provider Demographics
NPI:1972606564
Name:JEFFREY D LENOX MD LLC
Entity type:Organization
Organization Name:JEFFREY D LENOX MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LENOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-585-7454
Mailing Address - Street 1:875 OAK ST SE
Mailing Address - Street 2:SUITE #3070
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:503-585-7454
Mailing Address - Fax:503-585-9254
Practice Address - Street 1:875 OAK ST SE
Practice Address - Street 2:SUITE #3070
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-585-7454
Practice Address - Fax:503-585-9254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD172002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty