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: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Mental Health

About BROCK BRISTOW

This page provides the complete NPI Profile along with additional information for Brock Bristow, a provider established in Corvallis, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1386029189 assigned on July 2015. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1386029189 Verify this NPI
Provider Name
MR. BROCK RYAN BRISTOW
Gender
Male
Entity Type
Individual
Location Address
4455 NE HIGHWAY 20 CORVALLIS, OR 97330
Location Phone
(541) 766-6034
Mailing Address
3415 SE POWELL BLVD PORTLAND, OR 97202
Mailing Phone
(503) 234-9591
Is Sole Proprietor?
No
Enumeration Date
07-22-2015
Last Update Date
07-22-2015
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A mental health counselor like Brock Bristow provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Registered Nurse (Community Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker (Clinical)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Psychologist (Clinical Child & Adolescent)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker (Clinical)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker (Clinical)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker (Clinical)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Social Worker (Clinical)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Marriage & Family Therapist
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Case Manager/Care Coordinator
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Case Manager/Care Coordinator
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Case Manager/Care Coordinator
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Licensed Practical Nurse
4455 NE HIGHWAY 20
CORVALLIS, OR 97330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386029189, enumerated as an "individual" on July 22, 2015.

The provider is located at 4455 NE HIGHWAY 20 CORVALLIS, OR 97330 and the phone number is (541) 766-6034.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.