Individual provider · Type 1 NPI

Mitch Edmond Brock, MD

Otolaryngology Physician · Clackamas, OR

NPI number 1295847440 Active

Practice location

9800 SE Sunnyside Rd
Clackamas, OR 97015-9750

Mailing address

1203 Stonehaven Ct
West Linn, OR 97068-1870

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XMD00034914 (WA)
Otolaryngology Physician Primary 207Y00000XMD19303 (OR)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1295847440

Mitch Edmond Brock, MD's National Provider Identifier is 1295847440, issued on Aug 31, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Clackamas, OR. The record was last updated on Feb 4, 2022.