Provider Demographics
NPI:1730586686
Name:DAUMEN, LUCY EILEEN (QMHP)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:EILEEN
Last Name:DAUMEN
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3878 BEVERLY AVE NE
Mailing Address - Street 2:BUILDING H.
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1394
Mailing Address - Country:US
Mailing Address - Phone:541-576-4527
Mailing Address - Fax:503-576-4577
Practice Address - Street 1:3878 BEVERLY AVE NE
Practice Address - Street 2:BUILDING H.
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1394
Practice Address - Country:US
Practice Address - Phone:541-576-4527
Practice Address - Fax:503-576-4577
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program