Individual
MR. DAVID DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
7114 SE MALL ST, PORTLAND, OR 97206-3472
(503) 752-5141
Mailing address
2256 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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