Brock Anthony Derrick
Brock Anthony Derrick is a Case Manager/Care Coordinator in Eugene, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1255 Pearl StEugene, OR 97401-3570
Phone: (541) 687-6983
Fax: (541) 762-1571
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1538822093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 20, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 22, 2021 |
| Mailing address | 440 Melvill Cres, Philomath, OR 97370-9438 |
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