Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457179921 Individual Practitioner Female Practitioner

Audrey Louise Devan , DA

Dental Assistant • Portland, OR

Professional Overview & Biography Verified Profile Summary

Audrey Devan, DA is a registered healthcare professional specializing in Dental Assistant in Portland, OR. Practice services are available at 12750 SE STARK ST BLDG E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12750 Se Stark St Bldg E

Portland, OR 972331539

Telephone 9713473009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Portland, OR (298 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-03
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

State License OR 1128845

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Dental Assistant

NUCC Taxonomy Code: 126800000X

State License WA D160914067

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1003704727

DENTALASSISTANT

NPI 1023995925
Rachel Morsette , DA

Dental Assistant

NPI 1033662085
Jourdan Burklund , RDH

Dental Hygienist

NPI 1043759616

Registered Dental Hygienist

Lanae Washburn , RDH

Dental Hygienist

NPI 1114595220

Registered Dental Hygienist

Peter Clair Widmer

Dental Assistant

NPI 1144119660

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 03, 2025

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 5032241044)

👤
Provider Name / Credentials Updated June 03, 2025

Recorded as AUDREY DEVAN, DA

NPI Profile Active October 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2024

Registered at 12750 SE STARK ST BLDG E, PORTLAND, OR 972331539 (Tel: 9713473009)

📍
Updated Business Mailing Address October 02, 2024

Registered at 12750 SE STARK ST BLDG E, PORTLAND, OR 972331539 (Tel: 9713473009)

👤
Provider Name / Credentials Updated October 02, 2024

Recorded as AUDREY DEVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2024

Dental Assistant (License #D160914067 in WA)

🟢
Initial NPI Registration & Enumeration October 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457179921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2024
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

211 Se Caruthers St

Portland, OR 972144502

Phone: 5032241044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.