Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Anne Brock, APRN-BC

Individual provider Nurse Practitioner · NPI 1255422366

Lisa Anne Brock, APRN-BC is a Nurse Practitioner in Beaverton, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2001, 25 years ago. Practices with Crm Physicians LLC, a 58-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

6800 SW 105th Ave
Beaverton, OR 97008-5468
Phone: (503) 430-1777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10037575 (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 100375775 (OR)

Record details

NPI number1255422366
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Crm Physicians Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beaverton