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Devan Robert League

Peer Specialist β€’ Baker City, OR

Active NPI 1750130290 Individual Practitioner Male Practitioner
Practice location in NPPES

3425 13th St
Baker City, OR 978141340

Call 5415237400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3425 13th St

Baker City, OR 978141340

Telephone 5415237400
Fax 5415234927
Organization at the Same NPPES Address or Phone
New Directions Northwest, Inc Facility NPI 1235124462

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baker City and Oregon

16 active clinicians are listed under Peer Specialist with a practice address in Baker City, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baker City

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-10
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR 24-CRM-3267

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR 114706

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Odl
8583307 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Taylor Clark , LCSW

Social Worker - Clinical

NPI 1740729599

Licensed Clinical Social Worker

Colleen Davenport , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003223694

Psychiatric-Mental Health Nurse Practitioner

Mari Dominguez , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265197040

Nurse Practitioner (Certified)

Reta Warner , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1841540705

Psychiatric-Mental Health Nurse Practitioner

Kelli Wright , MS

Social Worker - Clinical

NPI 1407090822

Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2026

Peer Specialist (license number reported to NPPES: OR 114706)

βœ…
NPI Profile Active May 16, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2024

Registered at 3425 13TH ST, BAKER CITY, OR 978141340 (Tel: 5415237400)

πŸ“
Business Mailing Address (Initial Record) May 16, 2024

Registered at 3425 13TH ST, BAKER CITY, OR 978141340 (Tel: 5415237400)

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2024

Recorded as DEVAN LEAGUE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2024

Peer Specialist (license number reported to NPPES: OR PENDING)

🟒
Initial NPI Registration & Enumeration May 16, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750130290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2024
Last Update: February 10, 2026
Sole Proprietor: Yes

Mailing Address

3425 13th St

Baker City, OR 978141340

Phone: 5415237400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.