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General NPI Number Information
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NPI Number | 1467514737
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Entity Type | Organization
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Legal Business Name | DEVOE PEDIATRICS PC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 49 NW 1ST ST STE 6
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City | ONTARIO
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State | OR
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Zip | 97914-2468
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Country | US
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Telephone | 541-889-0878
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 PATRICIA AVE
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City | ONTARIO
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State | OR
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Zip | 97914-5308
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Country | US
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Telephone | 541-889-5280
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SHAREHOLDER S CORP
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Name | MICHELLE FRANCES DEVOE
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Credential | D.O.
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Telephone | 541-889-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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