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General NPI Number Information
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NPI Number | 1356371330
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Entity Type | Individual
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Provider Name | BLAILR COCKING OTRL, CHT
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2120 EXCHANGE ST SUITE 104
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City | ASTORIA
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State | OR
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Zip | 97103-3365
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Country | US
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Telephone | 503-325-7711
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Fax | 503-325-7143
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Provider Business Mailing Address
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Address Line | 490 FRANKLIN AVE
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City | ASTORIA
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State | OR
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Zip | 97103-4435
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Country | US
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Telephone | 503-338-3304
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 332965
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 332965
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License Number State | OR
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