Individual
DEVAN FORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 957-1111
Mailing address
3105 W WOODSIDE AVE, ROSEBURG, OR 97471-7742
(541) 670-0969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10033600
OR
Other
Enumeration date
06/17/2024
Last updated
10/02/2024
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