-- MITCH EDMOND BROCK -- MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1295847440- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 9800 SE SUNNYSIDE RD, CLACKAMAS, OR, 970159750
- Phone
- (503) 653-6440
Specialties & Taxonomies
Otolaryngology
License: WA #md00034914
Otolaryngology
Primary License: OR #md19303