Individual
CARLEEN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-4937
Mailing address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-4937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141125RN
OR
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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