Individual
DR. JERALD JOSEPH BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 NE PARKWAY DR STE 210, VANCOUVER, WA 98662-6653
(360) 838-3654
(360) 299-5451
Mailing address
7700 NE PARKWAY DR STE 210, VANCOUVER, WA 98662-6653
(360) 838-3654
(360) 299-5451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD22033
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD61388356
MEDICAL LICENSE
WA
Enumeration date
02/26/2007
Last updated
02/11/2025
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