Healthcare Provider Details

I. General information

NPI: 1679484703
Provider Name (Legal Business Name): KARI JEAN HOCKS HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 S KELLY AVE
PORTLAND OR
97239-4315
US

IV. Provider business mailing address

13775 SW 6TH ST APT H
BEAVERTON OR
97005-3779
US

V. Phone/Fax

Practice location:
  • Phone: 503-274-9482
  • Fax: 503-222-3539
Mailing address:
  • Phone: 503-516-4919
  • Fax: 503-222-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-P-10126615
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: