Individual
DR. GREGORY ELLIS DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
650 NE HOLLADAY ST, STE 1600, PORTLAND, OR 97232-2045
(503) 660-8549
Mailing address
650 NE HOLLADAY ST, STE 1600, PORTLAND, OR 97232-2045
(503) 660-8549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
25546
CA
103TC0700X
Clinical Psychologist
Primary
2603
OR
Other
Enumeration date
04/03/2013
Last updated
07/22/2016
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