Individual
STEVEN JOEL DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ORCHARD ST, COVE, OR 97824-8757
(541) 910-8216
(541) 568-4030
Mailing address
1201 ORCHARD ST, COVE, OR 97824-8757
(541) 910-8216
(541) 568-4030
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
525180
OR
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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