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1851145650
STEPHEN MICHAEL BROCK
PORTLAND, OR
NPI
1851145650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
STEPHEN MICHAEL BROCK QMHA
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
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Mailing Address
STEPHEN MICHAEL BROCK QMHA
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
Copy
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