LISA ANNE BROCK APRN-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1255422366- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN-BC
- Status
- Active
Contact & Location
- Address
- 6800 SW 105TH AVE, BEAVERTON, OR, 970085468
- Phone
- (503) 430-1777
Specialties & Taxonomies
Nurse Practitioner
Primary License: OR #10037575
Nurse Practitioner, Adult Health
License: OR #100375775