IndividualActive
Mason Haycock, CCP
NPI 1326483769 · General Acute Care Hospital · Clackamas, OR
Provider details
- NPI number
- 1326483769
- Entity type
- Individual
- Primary specialty
- General Acute Care HospitalHospitals
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Hospitals
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Approximate (ZIP-level) locationGet directions
Mailing address
1237 Goose Creek Rd
Woodburn, OR 97071-9682
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.