Damiano, Brandee Fanchon
Damiano, Brandee Fanchon is an sole proprietor health care provider with primary practice located at 505 Washington St Apt A3 , Oregon City OR 97045-2257. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Damiano, Brandee Fanchon can be contacted via phone (503) 732-5128.Contact Information
Primary practice address
505 Washington St Apt A3
Oregon City OR 97045-2257
Phone: (503) 732-5128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 21-CRM-341 | Oregon |
Profile Details
| NPI number | 1598359804 |
|---|---|
| LBN Legal business name | Damiano, Brandee Fanchon |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2021 |
| Last updated | Feb 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598359804 | NPPES |
| Oregon | Other | 21-CRM-341 | CRM |
| Oregon | MEDICAID | THW000104559 | CRM |
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