Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MASON CARL HAYCOCK, CCP
Active Sole ProprietorMASON CARL HAYCOCK, CCP is a General Acute Care Hospital healthcare provider located in CLACKAMAS, Oregon. NPI 1326483769 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · CLACKAMAS, OR
Registration Details
- NPI Number
- 1326483769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2013 (13.257015911224 yrs)
- Last Updated
- Apr 29, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
10180 SE SUNNYSIDE RDCLACKAMAS, OR, 970158970Browse OR providers · Browse ZIP 97015
- Phone
- 5036522880
- Primary Specialty
-
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.