Davis, Deeann K

Davis, Deeann K is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Deeann K can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Fax: (541) 523-4927
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LMSW 24617 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-31483 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-4117 Oregon

Profile Details

NPI number 1750493847
LBN Legal business name Davis, Deeann K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 1st, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750493847 NPPES
Oregon MEDICAID 500687115

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