IndividualActive
David Brockway
NPI 1154963692 · Attendant Care Provider · Tualatin, OR
Provider details
- NPI number
- 1154963692
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
17455 Sw 108th Pl
Tualatin, OR 97062-8427
Phone: (503) 298-1935
Approximate (ZIP-level) locationGet directions
Mailing address
17455 Sw 108th Pl
Tualatin, OR 97062-8427
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2019-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.