Individual
ABBEY COCKRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SW ARCTIC DR, BEAVERTON, OR 97005-9447
(503) 224-2184
Mailing address
5490 SW 164TH CT, BEAVERTON, OR 97007-3445
(503) 804-6212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A541286
OR
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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