Dever-Mount, Melissa L
Dever-Mount, Melissa L is an individual health care provider with primary practice located at 3617 S Pacific Hwy , Medford OR 97501-8957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dever-Mount, Melissa L can be contacted via phone (541) 535-6239.Contact Information
Primary practice address
3617 S Pacific Hwy
Medford OR 97501-8957
Phone: (541) 535-6239
Fax: (541) 512-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 737855 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201407387NP-PP | Oregon |
Profile Details
| NPI number | 1770874836 |
|---|---|
| LBN Legal business name | Dever-Mount, Melissa L |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2011 |
| Last updated | Dec 30th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770874836 | NPPES |
| Oregon | MEDICAID | 500678123 |
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