# DEVONA LYNN SHEPARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881295921
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 519197 | OR | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 528731 | OR | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 12/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6898 | — | OR |