Individual
CALEB LEE DEVENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 233-3971
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 316-7422
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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