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NPI Code Detail

MEDICARE: MR. JAMES JOSEPH DEVANEY PMHCNS

MEDICARE: MR. JAMES JOSEPH DEVANEY PMHCNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist200570020CNSOR

General Provider Information

NPI Number : 1316146624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES JOSEPH DEVANEY PMHCNS
Provider Business Mailing Address
First Line : 1200 HILYARD ST
Second Line : SUITE 460
City : EUGENE
State : OR
Zip : 97401-8122
Country : US
Telephone Number : 541-685-1794
Fax Number : 541-686-3942
Provider Business Practice Location Address
First Line : 51 SW LEE ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-3823
Country : US
Telephone Number : 541-574-5960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 02/27/2025

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