Devree Jesse Dean De La Rosa-Wilder
Case Manager/Care Coordinator in Klamath Falls, OR. Individual provider (NPI-1).
NPI number1841014289
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1841014289
- Entity type
- Individual (NPI-1)
- Name
- Devree Jesse Dean De La Rosa-Wilder
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1312 Kane StKlamath Falls, OR 97603-3932
Phone 541-883-1030
Mailing address
2210 N Eldorado AveKlamath Falls, OR 97601-6418
Phone 541-883-1030
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All 365 Case Manager/Care Coordinator providers in Klamath Falls · All 2,330 providers in Klamath Falls
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