Provider Demographics
NPI:1467650895
Name:YEGGE-BRANNON, LINDA ANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:YEGGE-BRANNON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23175 NE HYLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-7325
Mailing Address - Country:US
Mailing Address - Phone:503-313-8067
Mailing Address - Fax:
Practice Address - Street 1:120-C N EVEREST RD
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-2116
Practice Address - Country:US
Practice Address - Phone:503-538-8952
Practice Address - Fax:503-537-2027
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL06861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical