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NPI Code Detail

MEDICARE: MS. DEANNA ENGBER LPC

MEDICARE: MS. DEANNA ENGBER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC4978OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457368557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANNA ENGBER LPC
Provider Business Mailing Address
First Line : 113 N ELM ST
Second Line :
City : CANBY
State : OR
Zip : 97013-3519
Country : US
Telephone Number : 503-263-8903
Fax Number : 503-266-8632
Provider Business Practice Location Address
First Line : 5291 NE ELAM YOUNG PKWY STE 160
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-7560
Country : US
Telephone Number : 503-372-5147
Fax Number : 503-640-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 03/21/2022

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