1. Home
  2. Directory
  3. Oregon
  4. Corvallis
  5. Counselor
  6. NPI Profile

MR. BROCK RYAN BRISTOW
NPI 1386029189
Counselor - Mental Health in Corvallis, OR

Active since July 22, 2015
4455 NE HIGHWAY 20, CORVALLIS, OR 97330(541) 766-6034 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brock Ryan Bristow NPPES

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

MR. BROCK RYAN BRISTOW (NPI 1386029189) is an individual mental health provider in Corvallis, Oregon and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1386029189
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BROCK RYAN BRISTOW
Location Address4455 NE HIGHWAY 20Corvallis, OR 97330-9695
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Phone(541) 766-6034
Sole ProprietorNo
Enumeration DateJuly 22, 2015
✔ NPI 1386029189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4455 NE HIGHWAY 20, Corvallis, OR 97330
Open in Google Maps ↗

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.

GEORGE WILLIAM KEMPER JR.
Social Worker
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5944
KIRI N. HORSEY MS, LPC
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5946
MS. CASEY JOANNA ROACH MA
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
PATRICK OWEN MCGUFFIN
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
LAURA CAPEHART
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
DEVAN COMPTON
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (503) 234-9591
ANNA SPROSS
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 757-1852
VICTORIA ALEXANDRA ODELL
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900

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 Brock Bristow's NPI number?

The NPI number for Brock Bristow is 1386029189. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Brock Bristow located?

Brock Bristow practices at 4455 NE Highway 20, Corvallis, OR 97330. The listed phone number is (541) 766-6034.

What is Brock Bristow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brock Bristow was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.