Devin Dyquisto Valid NPI
Individual provider · Case Manager/Care Coordinator · Portland, OR
- NPI
- 1235771890
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- PROFESSIONALLICENSE
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-10-15
- Last updated
- 2023-09-01
Practice location
17720 Ne Halsey St Ste A
Portland, OR 97230-6771
(503) 654-7654