Healthcare Provider Details

I. General information

NPI: 1356874952
Provider Name (Legal Business Name): MARIJKE JULIA DEVOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9621 RIDGETOP BLVD NW
SILVERDALE WA
98383-8502
US

IV. Provider business mailing address

9621 RIDGETOP BLVD NW
SILVERDALE WA
98383-8502
US

V. Phone/Fax

Practice location:
  • Phone: 360-782-3400
  • Fax: 360-782-3345
Mailing address:
  • Phone: 360-782-3600
  • Fax: 360-830-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD61429645
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD61429645
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: