Dever-Mount, Melissa L

Dever-Mount, Melissa L is an individual health care provider with primary practice located at 3617 S Pacific Hwy , Medford OR 97501-8957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dever-Mount, Melissa L can be contacted via phone (541) 535-6239.

Contact Information

Primary practice address
3617 S Pacific Hwy Medford OR 97501-8957
Phone: (541) 535-6239
Fax: (541) 512-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 737855 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201407387NP-PP Oregon

Profile Details

NPI number 1770874836
LBN Legal business name Dever-Mount, Melissa L
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2011
Last updated Dec 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770874836 NPPES
Oregon MEDICAID 500678123

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