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General NPI Number Information
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NPI Number | 1790689180
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Entity Type | Individual
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Provider Name | DEVON PALMORE
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Gender | Female
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 10535 NE GLISAN ST STE 301
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City | PORTLAND
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State | OR
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Zip | 97220-4077
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Country | US
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Telephone | 505-444-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 7823 NE FOURTH PLAIN BLVD APT B21
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City | VANCOUVER
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State | WA
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Zip | 98662-7706
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Country | US
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Telephone | 360-991-1413
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H6901
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License Number State | OR
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