SearchOregon101Y00000X

Devante Stewart

NPI 1164008884 · on the registry since 2021

Practice

Address
2210 N Eldorado Ave
Klamath Falls, OR 97601
Phone
(541) 883-1030
Fax
(541) 884-2338
Organisation at this address
Kyle R Johnson
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Child & Family Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
533

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
106S00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon