Brock, Michael Richard

Brock, Michael Richard is an sole proprietor health care provider with primary practice located at 310 Nw Flanders St , Portland OR 97209-3941. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Brock, Michael Richard can be contacted via phone (503) 827-3949.

Contact Information

Primary practice address
310 Nw Flanders St Portland OR 97209-3941
Phone: (503) 827-3949
Fax: (503) 827-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1558415091
LBN Legal business name Brock, Michael Richard
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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