Shepard, Devona Lynn
Shepard, Devona Lynn is an sole proprietor health care provider with primary practice located at 312 Nw 9Th St , Ontario OR 97914-2252. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as her primary health care specialty. Shepard, Devona Lynn can be contacted via phone (208) 741-0741.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | 519197 | Oregon |
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | 528731 | Oregon |
Profile Details
| NPI number | 1881295921 |
|---|---|
| LBN Legal business name | Shepard, Devona Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2020 |
| Last updated | Dec 31st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881295921 | NPPES |
| Oregon | MEDICAID | 6898 |
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