Individual
MARY KNOBLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22804 W BLUFF DR, WEST LINN, OR 97068-8261
(503) 807-4122
Mailing address
22804 W BLUFF DR, WEST LINN, OR 97068-8261
(503) 807-4122
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
175L00000X
Homeopath
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
04/03/2020
Last updated
01/29/2025
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