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DAVID BROCKWAY
NPI 1154963692
Technician - Attendant Care Provider in Tualatin, OR

Active since October 16, 2019
17455 SW 108TH PL, TUALATIN, OR 97062(503) 298-1935 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Brockway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BROCKWAY (NPI 1154963692) is an individual attendant care provider provider in Tualatin, Oregon and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1154963692
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDAVID BROCKWAY
Location Address17455 SW 108TH PLTualatin, OR 97062-8427
Mailing Address17455 Sw 108th PlTualatin, OR 97062-8427 · (503) 298-1935
Phone(503) 298-1935
Sole ProprietorYes
Enumeration DateOctober 16, 2019
✔ NPI 1154963692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
17455 SW 108TH PL, Tualatin, OR 97062
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Other Identifiers 1

MedicaidDZ1386OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Brockway's NPI number?

The NPI number for David Brockway is 1154963692. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is David Brockway located?

David Brockway practices at 17455 SW 108th Pl, Tualatin, OR 97062. The listed phone number is (503) 298-1935.

What is David Brockway's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for David Brockway was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.