Individual
HEATHER R BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1902 4TH ST STE 3, LA GRANDE, OR 97850-2558
(541) 663-0007
(541) 663-0010
Mailing address
1902 4TH ST STE 3, LA GRANDE, OR 97850-2558
(541) 663-0007
(541) 663-0010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201900699NP-PP
OR
Other
Enumeration date
01/22/2007
Last updated
10/16/2025
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