Individual
MICHAEL LOGAN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15000 SW BARROWS RD STE 201, BEAVERTON, OR 97007-8778
(971) 930-4433
Mailing address
15686 SW PLEASANTVIEW CT, PORTLAND, OR 97224-1292
(530) 260-0142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65205
OR
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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