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Search › Oregon › 171M00000X

Deidma Agee-Brockmann, QMHA

NPI 1316148638 · on the registry since 2007 · sole proprietor

Practice

Address
530 Nw 27th St
Corvallis, OR 97330
Phone
(541) 766-6084
Organisation at this address
Benton County
Benton County
Benton County
Benton County
Benton County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
381

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon