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Isabella Devincentis
Peer Specialist in Medford, Oregon
NPI 1336660828

Isabella Devincentis is a Peer Specialist based in Grants Pass, OR. Isabella Devincentis practices in Medford, OR. The NPI Number for Isabella Devincentis is 1336660828 and holds a License No. (Oregon).

The current practice location address for Isabella Devincentis is 3587 Heathrow Way, Medford, OR and can be reached out via phone at 541-858-8170 and via fax at 541-858-8167.

Location: 3587 Heathrow Way, Medford, OR, 97526-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336660828
Provider Name
Isabella Devincentis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3587 Heathrow Way, Medford, OR, 97526-3409
Phone Number
541-858-8170
Fax Number
541-858-8167
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3587 Heathrow Way
City
Medford
State
Oregon
Zip
97504-4004
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider Business Mailing Address Details
Address
3587 Heathrow Way
City
Medford
State
Oregon
Zip
97504-4004
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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