Doctor Name: | MS. KAREN M DEVEREUX |
NPI Number: | 1245428564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 200841902RN |
Business Practice Address: | 1975 Mcpherson St Ste 2 North Bend, OR - 974593482 |
Business Phone Number: | 5412973192 |
Business Fax Number: | 5417568982 |
Mailing Address: | Po Box 135, NORTH BEND |
State: | OR |
Postal Code: | 974590010 |
Phone Number: | 5412973192 |
Fax Number: | 5417568982 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 200841902RN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |