Devore, Joanne G

Devore, Joanne G is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 301, Portland OR 97225-6663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Devore, Joanne G can be contacted via phone (503) 297-3371.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 301 Portland OR 97225-6663
Fax: (503) 297-7975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD20753 Oregon

Profile Details

NPI number 1023007036
LBN Legal business name Devore, Joanne G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jun 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023007036 NPPES
Oregon MEDICAID 150319

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