SearchOregon101Y00000X

Ethan Hoccom

NPI 1710335484 · on the registry since 2016 · sole proprietor

Practice

Address
1527 Ne Lamesa Place 17th St
Gresham, OR 97030
Phone
(971) 337-4111

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon