Individual
MR. GERRIT CHARLES KOCKX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1885 NW 185TH AVE STE 102, ALOHA, OR 97006-2794
(503) 216-9760
Mailing address
1000 SW VISTA AVE APT 1118, PORTLAND, OR 97205-1141
(503) 499-6574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2117
OR
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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