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

Mitch Edmond Brock, MD

Individual provider Otolaryngology Physician · NPI 1295847440

Mitch Edmond Brock, MD is an Otolaryngology Physician in Clackamas, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9800 SE Sunnyside Rd
Clackamas, OR 97015-9750
Phone: (503) 653-6440
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD19303 (OR)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MD00034914 (WA)

Record details

NPI number1295847440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESFebruary 4, 2022
Mailing address1203 Stonehaven Ct, West Linn, OR 97068-1870

Other providers in Clackamas