IndividualActive
Amy Brock
NPI 1942174115 · Student in an Organized Health Care Education/Training Program · La Pine, OR
Provider details
- NPI number
- 1942174115
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
51600 Huntington Rd
La Pine, OR 97739-8887
Phone: (541) 316-0812
Approximate (ZIP-level) locationGet directions
Mailing address
61557 Aaron Way
Bend, OR 97702-8995
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.