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Provider Information for 1346484391


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SARA ROCHELLE DEVANEY LCSW


Sex: Female

NPI: 1346484391
Last Updated: 2021-12-17
Certification Date: 2021-12-17

Details

NameValue
NPI1346484391
Enumeration Date2009-04-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1439 LAZY CREEK CT NE
KEIZER, OR 97303-7805
United States

Phone: 541-554-1567 | Fax:
 
Primary Practice Address 5125 SKYLINE RD S
SALEM, OR 97306-9427
United States

Phone: 503-588-5993 | Fax:
 
Secondary Practice Address(es)

11211 SE 82ND AVE
SUITE O
HAPPY VALLEY, OR 97086
United States

Phone: 503-722-6200 | Fax:503-722-6545
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
sara.r.devaney@kp.org
work email
Direct email 5125 Skyline Rd S
Salem, OR 97306-9427
United States
SOAP URL
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality
Health Information Exchange (HIE) C-CDA 5125 Skyline Rd S
Salem, OR 97306-9427
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalORL4600