Mary Knoblock, is a
Health & Wellness Coach based in West Linn, Oregon. Mary Knoblock is licensed to practice in * (Not Available) (license number ) and her current practice location is
22804 W Bluff Dr, West Linn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 807-4122.
NPI number for Mary Knoblock is 1922637701 and her current mailing address is 22804 W Bluff Dr, West Linn, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922637701.
Healthcare Provider's Profile
| Full Name | Mary Knoblock |
|---|
| Gender | Female |
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| Speciality | Health & Wellness Coach |
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| Location | 22804 W Bluff Dr, West Linn, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922637701
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Mary Knoblock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922637701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 175L00000X | Homeopath | (* (Not Available)) | Secondary |
| 374K00000X | Religious Nonmedical Practitioner | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Knoblock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Knoblock,
22804 W Bluff Dr,
West Linn, OR 97068-8261
Ph: (503) 807-4122 | Mary Knoblock,
22804 W Bluff Dr,
West Linn, OR 97068-8261
Ph: (503) 807-4122 |
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