Individual
CHRISTINE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-9668
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(303) 324-7028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343109
OR
Other
Enumeration date
10/08/2015
Last updated
04/07/2023
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