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Individual

DR. CHARLES JOSEPH BOCK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1306 DIVISION ST, OREGON CITY, OR 97045-1523
(503) 656-4221
(503) 656-4249
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD21117
OR
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD21117
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287311
OR
Enumeration date
11/15/2005
Last updated
02/20/2021
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