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MITCH EDMOND BROCK MD
NPI 1295847440
Otolaryngology in Clackamas, OR

Active since August 31, 2006
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 653-6440 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitch Edmond Brock Md NPPES

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

MITCH EDMOND BROCK MD (NPI 1295847440) is an individual otolaryngology provider in Clackamas, Oregon, licensed in Oregon (MD19303) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1295847440
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMITCH EDMOND BROCKCredential: MD
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address1203 Stonehaven CtWest Linn, OR 97068-1870 · (503) 635-7389
Phone(503) 653-6440
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1295847440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OR · MD19303✔ Licensed in WA · MD00034914
Definition
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 injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
9800 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY R JORDAN
Nurse Practitioner (Family)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
MICHAEL HOLLENBACK P.A.-C.
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
DR. CALVERT JOHN SHIPLEY M.D.
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
JAY JOO M.D.
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
TRISHA ZANDER
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-1319
NATASHA WARIKOO PHD
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
THANH VAN HOANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
HANNAH LARSEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879

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 Mitch Brock's NPI number?

The NPI number for Mitch Brock is 1295847440. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mitch Brock located?

Mitch Brock practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 653-6440.

What is Mitch Brock's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Mitch Brock was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.