Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689411977 Individual Practitioner Male Practitioner

Michael Faustino Devore

Peer Specialist • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Michael Devore is a registered healthcare professional specializing in Peer Specialist in Monroe, WA. Practice services are available at 809 W MAIN ST STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

809 W Main St Ste C

Monroe, WA 982722172

Telephone 2067452754
Associated Practice Facility / Clinic
🏢 Conquer Addiction Pllc Facility NPI 1255001624

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Monroe, WA

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

Practicing in Monroe, WA (2660 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: 2026-07-27
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA PR70054100

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA CG61622856

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

16225 Ne 87th St Ste 160

Redmond, WA 980523536

Phone: 2069012000

Practice Associates & Co-Workers

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

23 Associated Practitioners
Mikel Wassemiller

Counselor - Addiction (Substance Use Disorder)

NPI 1043102163
Jacob Grillo , PA-C

Physician Assistant - Medical

NPI 1043612575

Physician Assistant (Certified)

Joan Daves

Case Manager/Care Coordinator

NPI 1093912891
Shirley Karlsen , RN

Registered Nurse

NPI 1134933880

Registered Nurse

Delia Larry

Counselor - Addiction (Substance Use Disorder)

NPI 1215858790
Roger White

Peer Specialist

NPI 1326807215

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Counselor (License #CG61622856 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Counselor

📍
Updated Business Mailing Address November 17, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

NPI Profile Active July 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2024

Registered at 809 W MAIN ST STE C, MONROE, WA 982722172 (Tel: 2067452754)

📍
Updated Business Mailing Address July 12, 2024

Registered at 3632 RUCKER AVE APT 208, EVERETT, WA 982015118 (Tel: 6197012375)

👤
Provider Name / Credentials Updated July 12, 2024

Recorded as MICHAEL DEVORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 12, 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: 1689411977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2024
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Phone: 2069012000

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.