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NPI Code Detail

MEDICARE: DARBY JANE MCDONNIEAL QMHA-1

MEDICARE: DARBY JANE MCDONNIEAL QMHA-1
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
1101Y00000XCounselorOR

General Provider Information

NPI Number : 1588515142
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARBY JANE MCDONNIEAL QMHA-1
Provider Business Mailing Address
First Line : 2722 NW 15TH ST
Second Line :
City : REDMOND
State : OR
Zip : 97756-1088
Country : US
Telephone Number : 541-797-3824
Fax Number :
Provider Business Practice Location Address
First Line : 62895 HAMBY RD
Second Line :
City : BEND
State : OR
Zip : 97701-9575
Country : US
Telephone Number : 541-797-3824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/14/2026

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