Dyquisto, Devin

Dyquisto, Devin is an individual health care provider with primary practice located at 17720 Ne Halsey St Ste A , Portland OR 97230-6771. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Dyquisto, Devin can be contacted via phone (503) 654-7654.

Contact Information

Primary practice address
17720 Ne Halsey St Ste A Portland OR 97230-6771
Fax: (503) 654-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X PROFESSIONALLICENSE

Profile Details

NPI number 1235771890
LBN Legal business name Dyquisto, Devin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Sep 1st, 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.

Request for update

Popular Providers