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Mrs. Kaitlin Elizabeth Devine, LMT
Medical Specialty Clinic/Center in Salem, Oregon
NPI 1780141390

Kaitlin Elizabeth Devine is a Medical Specialty Clinic/Center based in Stayton, OR and is specialized in Medical Specialty. Kaitlin Elizabeth Devine practices in Salem, OR and has the professional credentials of LMT. The NPI Number for Kaitlin Elizabeth Devine is 1780141390 and holds a License No. 20599 (Oregon).

The current practice location address for Kaitlin Elizabeth Devine is 1505 Water St Ne, Salem, OR and can be reached out via phone at 503-507-6443.

Location: 1505 Water St Ne, Salem, OR, 97383-1556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780141390
Provider Name
Kaitlin Elizabeth Devine
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1505 Water St Ne, Salem, OR, 97383-1556
Phone Number
503-507-6443
Fax Number
Provider Enumeration Date
03/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20599 01 OR MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
1505 Water St Ne
City
Salem
State
Oregon
Zip
97301-6467
Phone Number
503-507-6443
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Water St Ne
City
Salem
State
Oregon
Zip
97301-6467
Phone Number
503-507-6443
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
20599 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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