NPI 1033762240

Kristie Lyn Brock, PTA

Practitioner Physical Medicine & Rehabilitation Physician Salem, OR

Practice location

Address: 1750 McGilchrist St SE STE 130, Salem, OR 97302-1691
Phone: (971) 304-2200

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5502001181 (MI)

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1033762240
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2019
Record last updated: 17 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.