Individual
DR. JOCK THOMAS PRIBNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-5023
Mailing address
PO BOX 86, GOVERNMENT CAMP, OR 97028-0086
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
9562
OR
Other
Enumeration date
08/18/2006
Last updated
07/10/2007
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