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
Phone: (503) 654-7654
Fax: (503) 654-7333
Website:
Health care specialties
| Specialty | Code | License # | 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.
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