Healthcare Provider Details

I. General information

NPI: 1427625300
Provider Name (Legal Business Name): DEVON MARIE HERBST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 COBURG RD STE 100
EUGENE OR
97401-7479
US

IV. Provider business mailing address

PO BOX 70368
SPRINGFIELD OR
97475-0120
US

V. Phone/Fax

Practice location:
  • Phone: 541-868-9700
  • Fax: 541-868-9844
Mailing address:
  • Phone: 541-485-2777
  • Fax: 541-246-2353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number10060073
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: