Individual
DR. DEVIN ROBERT GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(503) 956-8919
Mailing address
121 LAKESHORE DR, LEESVILLE, LA 71446-6138
(503) 956-8919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DO222404
OR
2084P0800X
Psychiatry Physician
Primary
DOS-1865
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
06/18/2014
Last updated
11/05/2025
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