Provider Demographics
NPI:1457531170
Name:DEVOS, PATRICIA MORGAN (LMT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MORGAN
Last Name:DEVOS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1878 HAPPY LN
Mailing Address - Street 2:APT 38
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7843
Mailing Address - Country:US
Mailing Address - Phone:541-334-3364
Mailing Address - Fax:
Practice Address - Street 1:1878 HAPPY LN
Practice Address - Street 2:APT 38
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7843
Practice Address - Country:US
Practice Address - Phone:541-334-3364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13583225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist