Individual
SARAH BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
Mailing address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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