Black, Devon

Black, Devon is an individual health care provider with primary practice located at 10230 Se Cherry Blossom Dr , Portland OR 97216-2821. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Black, Devon can be contacted via phone (503) 535-1150.

Contact Information

Primary practice address
10230 Se Cherry Blossom Dr Portland OR 97216-2821
Phone: (503) 535-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Peer Specialist 175T00000X 23-CRM-2172 Oregon

Profile Details

NPI number 1629842661
LBN Legal business name Black, Devon
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2023
Last updated Nov 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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