Individual
DR. MICHAEL BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2101 NE 139TH ST STE 460, VANCOUVER, WA 98686-2325
(360) 487-2727
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1830
OR
103TC0700X
Clinical Psychologist
Primary
PY00003704
WA
Other
Enumeration date
08/31/2006
Last updated
04/18/2025
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