LISA ANNE BROCK

BEAVERTON, OR
NPI1255422366
Former NameLISA ANNE HARBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10037575)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  100375775)
Enumeration Date2006-09-27
Last Update Date2025-12-16
Business Address
LISA ANNE BROCK APRN-BC
6800 SW 105TH AVE
BEAVERTON, OR 97008-5468
Phone number: 503-430-1777
Mailing Address
LISA ANNE BROCK APRN-BC
6800 SW 105TH AVE
BEAVERTON, OR 97008-5468
Phone number: 503-430-1777