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General NPI Number Information
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NPI Number | 1386485969
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Entity Type | Individual
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Provider Name | DEVIN LOUISE JOLLEY CNM
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 14601 SE DIVISION ST
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City | PORTLAND
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State | OR
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Zip | 97236-2333
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Country | US
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Telephone | 888-875-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 6614 SE 62ND AVE
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City | PORTLAND
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State | OR
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Zip | 97206-7558
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 10031513
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.RN.61267592
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP.AP.70105042-NP
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 202111676RN
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License Number State | OR
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