Provider Demographics
NPI:1962127472
Name:DEMAREST, REBECCA DEE (MSW, MA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:DEE
Last Name:DEMAREST
Suffix:
Gender:F
Credentials:MSW, MA
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:DEE
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1555 SW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-1130
Mailing Address - Country:US
Mailing Address - Phone:541-224-6904
Mailing Address - Fax:
Practice Address - Street 1:1555 SW 35TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-1130
Practice Address - Country:US
Practice Address - Phone:541-224-6904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker