Individual
MR. DEVERY GERARD BRODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
315 OAK ST. STE 200, HOOD RIVER, OR 97031
(541) 386-0009
(541) 386-0029
Mailing address
315 OAK ST, STE 200, HOOD RIVER, OR 97031
(541) 386-0009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
7291
OR
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972649903
—
OR
Enumeration date
01/29/2007
Last updated
08/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us