- Practice location
- 6800 SW 105TH Ave, Beaverton, OR 97008-5468
- Phone
- 503-430-1777
- Fax
- —
- Last updated
- December 16, 2025
Lisa Anne Brock is a Nurse Practitioner based in Beaverton, OR. Lisa Anne Brock practices in Beaverton, OR and has the professional credentials of APRN-BC. The NPI Number for Lisa Anne Brock is 1255422366 and holds a License No. 10037575 (OR). The current practice location address for Lisa Anne Brock is 6800 SW 105TH Ave, Beaverton, OR 97008-5468 and can be reached out via phone at 503-430-1777.
Provider Profile Details
- NPI Number
- 1255422366
- Provider Name
- Lisa Anne Brock
- Credential
- APRN-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6800 SW 105TH Ave, Beaverton, OR 97008-5468
- Phone Number
- 503-430-1777
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- Lisa Anne Harber, APRN-BC (Former Name)
- Provider Enumeration Date
- September 27, 2006
- Last Update Date
- December 16, 2025
- Certification Date
- December 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6800 SW 105TH Ave
Beaverton, OR 97008-5468 - City
- Beaverton
- State
- Oregon
- Zip
- 97008-5468
- Phone Number
- 503-430-1777
Provider Business Mailing Address Details
- Address
- 6800 SW 105TH Ave
Beaverton, OR 97008-5468 - City
- Beaverton
- State
- OR
- Zip
- 97008-5468
- Phone Number
- 503-430-1777
License Information
- License Number (1)
- 10037575
- License State (1)
- OR
- Taxonomy (1)
- Nurse Practitioner · 363L00000X · Primary
- License Number (2)
- 100375775
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa A Brock, APRN-BC?
The NPI number of Lisa A Brock, APRN-BC is 1255422366. It was assigned on September 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa A Brock, APRN-BC?
Lisa A Brock, APRN-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in OR under license number 10037575.
Where does Lisa A Brock, APRN-BC practice?
The practice location is 6800 SW 105TH Ave, Beaverton, OR 97008-5468. The office can be reached at 503-430-1777 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255422366 directly on the NPPES registry website.