Healthcare Provider Details

I. General information

NPI: 1831369123
Provider Name (Legal Business Name): DEBORAH LYNNE DEVINE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 LOCKE LN
PHOENIX OR
97535-9713
US

IV. Provider business mailing address

PO BOX 1787
MEDFORD OR
97501-0261
US

V. Phone/Fax

Practice location:
  • Phone: 530-538-2158
  • Fax: 458-203-5051
Mailing address:
  • Phone: 530-228-5212
  • Fax: 458-203-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number78378
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT2382
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: