Individual
MEGAN LEANN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11203 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
(503) 698-5500
Mailing address
8851 SE 10TH AVE APT A, PORTLAND, OR 97202-7000
(559) 936-8602
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
63764
OR
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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