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NPI Code Detail

MEDICARE: DEVANN BARAJAS

MEDICARE:   DEVANN  BARAJAS
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
1247200000XOther Technician

General Provider Information

NPI Number : 1649135484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVANN BARAJAS
Provider Business Mailing Address
First Line : 6241 JUNIPER WAY
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4129
Country : US
Telephone Number : 541-892-0437
Fax Number :
Provider Business Practice Location Address
First Line : 2555 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2723
Country : US
Telephone Number : 541-892-0437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ DEVANN BARAJAS ” Practice Location

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