Individual
CLIFFORD WAYNE DEVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8372
Mailing address
6732 SE 29TH AVE, PORTLAND, OR 97202-8724
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD15221
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158303
—
OR
Enumeration date
07/31/2006
Last updated
07/18/2011
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