Michael Faustino Devore, is a
Peer Specialist based in Monroe, Washington. Michael Faustino Devore is licensed to practice in Washington (license number PR70054100) and his current practice location is
809 W Main St Ste C, Monroe, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 745-2754.
NPI number for Michael Faustino Devore is 1689411977 and his current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689411977.
Healthcare Provider's Profile
| Full Name | Michael Faustino Devore |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 809 W Main St Ste C, Monroe, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689411977
- Provider Enumeration Date: 07/12/2024
- Last Update Date: 07/27/2026
Medical Identifiers
Medical identifiers for Michael Faustino Devore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689411977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | CG61622856 (Washington) | Secondary |
| 175T00000X | Peer Specialist | PR70054100 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Faustino Devore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Faustino Devore, 6400 Southcenter Blvd, Tukwila, WA 98188-2547 Ph: (206) 901-2000 | Michael Faustino Devore, 809 W Main St Ste C, Monroe, WA 98272-2172 Ph: (206) 745-2754 |
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