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Jennifer Brock

NPI 1467197509 · on the registry since 2022

Practice

Address
71840 Meadow Loop
Boardman, OR 97818
Phone
(541) 303-4658

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon