Devereux, Karen M
Devereux, Karen M is an individual health care provider with primary practice located at 1705 Waverly Dr Se , Albany OR 97322-6952. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Devereux, Karen M can be contacted via phone (541) 967-8221.Contact Information
Primary practice address
1705 Waverly Dr Se
Albany OR 97322-6952
Phone: (541) 967-8221
Fax: (541) 967-0054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 201507009NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201507009NP | Oregon |
Profile Details
| NPI number | 1245428564 |
|---|---|
| LBN Legal business name | Devereux, Karen M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2007 |
| Last updated | May 2nd, 2022 - about 4 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 | 1245428564 | NPPES |
| Oregon | MEDICAID | 500698210 |
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