Healthcare Provider Details

I. General information

NPI: 1467607614
Provider Name (Legal Business Name): DEANNE LOU COMFORT MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 E 2ND ST STE 250
NEWBERG OR
97132-3077
US

IV. Provider business mailing address

719 SE 9TH ST
DUNDEE OR
97115-9635
US

V. Phone/Fax

Practice location:
  • Phone: 971-832-8550
  • Fax:
Mailing address:
  • Phone: 503-830-8714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: