Individual
SUMMER SUNSHINE BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2975 RIVER RD S, SALEM, OR 97302-9754
(503) 507-0693
(503) 400-7956
Mailing address
525 ROSE ST NE, SALEM, OR 97301-4473
(503) 507-0693
(503) 400-7956
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
19475
OR
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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