Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Louise Devan, DA

Individual provider Dental Assistant · NPI 1457179921

Audrey Louise Devan, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2024.

Licensed in
OR, WA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 1128845 (OR)
Dental Assistant Taxonomy 126800000X · Licence D160914067 (WA)

Record details

NPI number1457179921
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address211 Se Caruthers St, Portland, OR 97214-4502

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