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1114662459
MEGAN LEANN BROCK
CLACKAMAS, OR
NPI
1114662459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR 63764)
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
MEGAN LEANN BROCK DPT
11203 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-7787
Phone number: 503-698-5500
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Mailing Address
MEGAN LEANN BROCK DPT
8851 SE 10TH AVE APT A
PORTLAND, OR 97202-7000
Phone number: 559-936-8602
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