Devereux, Karen M

Devereux, Karen M is an individual health care provider with primary practice located at 1705 Waverly Dr Se , Albany OR 97322-6952. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Devereux, Karen M can be contacted via phone (541) 967-8221.

Contact Information

Primary practice address
1705 Waverly Dr Se Albany OR 97322-6952
Phone: (541) 967-8221
Fax: (541) 967-0054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201507009NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201507009NP Oregon

Profile Details

NPI number 1245428564
LBN Legal business name Devereux, Karen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated May 2nd, 2022 - about 2 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 1245428564 NPPES
Oregon MEDICAID 500698210

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