Agee-Brockmann, Deidma Ann

Agee-Brockmann, Deidma Ann is an sole proprietor health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Agee-Brockmann, Deidma Ann can be contacted via phone (541) 766-6084.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1316148638
LBN Legal business name Agee-Brockmann, Deidma Ann
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Feb 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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