Individual provider · Type 1 NPI

Lisa Anne Brock, APRN-BC

Nurse Practitioner · Beaverton, OR

NPI number 1255422366 Active

Practice location

6800 SW 105th Ave
Beaverton, OR 97008-5468

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10037575 (OR)
Adult Health Nurse Practitioner 363LA2200X100375775 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255422366

Lisa Anne Brock, APRN-BC's National Provider Identifier is 1255422366, issued on Sep 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beaverton, OR. The record was last updated on Dec 16, 2025.