Jennifer B Brock

NPI #1467197509 in Boardman, Oregon

Provider Information

NPI Number: 1467197509
Entity Type: Individual
Name: Jennifer B Brock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 3, 2022
Last Updated: May 3, 2022

Practice Location

Address: 71840 MEADOW LOOP
City: Boardman
State: Oregon
ZIP Code: 97818-9668
Phone: (541) 303-4658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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