Provider Demographics
NPI:1619634821
Name:DUMLER, BRENT EUGENE (QMHA)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:EUGENE
Last Name:DUMLER
Suffix:
Gender:M
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N COAST HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-3117
Mailing Address - Country:US
Mailing Address - Phone:503-390-5637
Mailing Address - Fax:541-264-7515
Practice Address - Street 1:407 N COAST HWY STE 300
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3117
Practice Address - Country:US
Practice Address - Phone:503-390-5637
Practice Address - Fax:541-264-7515
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator