Provider Demographics
NPI:1083303374
Name:WINITZKY, DEVIN WARREN (CRM)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:WARREN
Last Name:WINITZKY
Suffix:
Gender:M
Credentials:CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 NE MCCARTNEY DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5089
Mailing Address - Country:US
Mailing Address - Phone:541-480-8082
Mailing Address - Fax:
Practice Address - Street 1:163 NE MCCARTNEY DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-5089
Practice Address - Country:US
Practice Address - Phone:541-480-8082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist