Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCH EDMOND BROCK, MD
ActiveMITCH EDMOND BROCK, MD is a Otolaryngology healthcare provider located in CLACKAMAS, Oregon. NPI 1295847440 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CLACKAMAS, OR
Registration Details
- NPI Number
- 1295847440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.811308377609 yrs)
- Last Updated
- Feb 4, 2022
- Licenses
-
MD00034914 (WA)MD19303 (OR)
Practice Information
- Address
-
9800 SE SUNNYSIDE RDCLACKAMAS, OR, 970159750Browse OR providers · Browse ZIP 97015
- Phone
- 5036536440
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| GEOFFREY LAWRENCE | MD | 1346354545 |
| DR. SHARON MARIE HIGGINS | M.D. | 1396850806 |
| CAROLINE YI YANG | M.D | 1194818955 |
| JOHN CHRISTOPHER GODDARD | MD | 1730278375 |
| DR. CLEE E LLOYD | MD | 1437222460 |
| ANNA HELEN GROSZ | M.D. | 1144398017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.