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Deven Edgerton
NPI 1285060228 · on the registry since 2013
Practice
- Address
- 707 Ne Couch St
Portland, OR 97232 - Phone
- (503) 542-4603
- Organisation at this address
- Janus Youth Programs
Janus Youth Programs, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-23
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