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Mr. Devery Gerard Broddie, LMT
Massage Therapist in Hood River, Oregon
NPI 1972649903

Devery Gerard Broddie is a Massage Therapist based in Hood River, OR. Devery Gerard Broddie practices in Hood River, OR and has the professional credentials of LMT. The NPI Number for Devery Gerard Broddie is 1972649903 and holds a License No. (Oregon).

The current practice location address for Devery Gerard Broddie is 315 Oak St. Ste 200, Hood River, OR and can be reached out via phone at 541-386-0009 and via fax at 541-386-0029.

Location: 315 Oak St. Ste 200, Hood River, OR, 97031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972649903
Provider Name
Devery Gerard Broddie
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
315 Oak St. Ste 200, Hood River, OR, 97031
Phone Number
541-386-0009
Fax Number
541-386-0029
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972649903 05 OR
institution
Provider Business Practice Location Address Details
Address
315 Oak St. Ste 200
City
Hood River
State
Oregon
Zip
97031
Phone Number
541-386-0009
Fax Number
541-386-0029
person
Provider Business Mailing Address Details
Address
315 Oak St. Ste 200
City
Hood River
State
Oregon
Zip
97031
Phone Number
541-386-0009
Fax Number
541-386-0029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
7291 (Oregon)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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