NPI 1023492055

Steven Joel Devore

Practitioner Mental Illness Community Based Residential Treatment Facility Cove, OR

Practice location

Address: 1201 Orchard St, Cove, OR 97824-8757
Phone: (541) 910-8216
Fax: (541) 568-4030

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 525180 (OR)

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1023492055
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2015
Record last updated: 20 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.