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Individual

JAMES ERNEST DEVORSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
665 WINTER ST SE, SALEM HOSPITAL, SALEM, OR 97301-3919
(503) 399-0811
Mailing address
1687 SKY TERRACE SE, SALEM, OR 97306-9557
(503) 399-0811

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD08610
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047712
OR
Enumeration date
11/09/2006
Last updated
07/08/2007
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