SearchOregon171400000X

Mary Knoblock

NPI 1922637701 · on the registry since 2020 · sole proprietor

Practice

Address
22804 W Bluff Dr
West Linn, OR 97068
Phone
(503) 807-4122
Organisation at this address
Haven Wellness Company
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171400000X
171400000X
Also registered as
101YP1600X
174H00000X
175L00000X
374K00000X
Sex
Female
Record last updated
2025-01-29

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