Provider Demographics
NPI:1013341494
Name:ROWLEY, DEVI BISHOP (MA, QMHP)
Entity Type:Individual
Prefix:
First Name:DEVI
Middle Name:BISHOP
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MA, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 WING TIP AVE NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4367
Mailing Address - Country:US
Mailing Address - Phone:503-385-1166
Mailing Address - Fax:
Practice Address - Street 1:1520 PLAZA ST NW STE 150
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4658
Practice Address - Country:US
Practice Address - Phone:503-585-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2021-06-14
Deactivation Date:2017-03-16
Deactivation Code:
Reactivation Date:2017-05-25
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 104100000X, 103K00000X
ORC5535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst