Individual
DAMIEN KYLE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Mailing address
3190 SW 185TH AVE APT 28, ALOHA, OR 97003-3269
(503) 434-7462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
09/21/2020
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