Individual
LINDA RENEE BOCKHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 2ND AVE SW STE 204, ALBANY, OR 97321-2485
(541) 248-9153
Mailing address
425 2ND AVE SW STE 204, ALBANY, OR 97321-2485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2935
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743734
—
OR
05
—
500761237
—
OR
Enumeration date
02/14/2018
Last updated
07/21/2022
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