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1437003308 NPI number — CASSIE ELIZABETH BROCK

NPI Number: 1437003308
Health Care Provider/Practitioner: CASSIE ELIZABETH BROCK

Information about “1437003308” NPI (CASSIE ELIZABETH BROCK) exists in 1437003308 in HTML format HTML  |  1437003308 in plain Text format TXT  |  1437003308 in PDF (Portable Document Format) PDF  |  1437003308 in an XML format XML  formats.

NPI Number : 1437003308 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437003308",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROCK",
    "FirstName": "CASSIE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BEEKMAN",
    "OtherFirstName": "CASSANDRA",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7115 MONTAUK CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE OSWEGO",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97035-7837",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-213-4892",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "627 NE EVANS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCMINNVILLE",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97128-3923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-434-7523",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/25/2026",
    "LastUpdateDate": "02/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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