Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Devin Dyquisto

Case Manager/Care Coordinator β€’ Portland, OR

Active NPI 1235771890 Individual Practitioner Male Practitioner
Practice location in NPPES

17720 Ne Halsey St Ste A
Portland, OR 972306771

Call 5036547654 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

17720 Ne Halsey St Ste A

Portland, OR 972306771

Telephone 5036547654
Fax 5036547333
Organization at the Same NPPES Address or Phone
Columbacare Services Facility NPI 1841718574

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

NPI first issued

2019

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 Portland and Oregon

1,322 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Portland, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 1,322 clinicians have the CMS telehealth indicator.

0.2% of these 1,322 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: 2020-01-22
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES None PROFESSIONALLICENSE

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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

Clinicians Sharing This Practice Address or Phone

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

2 listed
George Fussell

Psychiatry & Neurology - Psychiatry

NPI 1902864952
Clara Ruiz

Psychiatry & Neurology - Psychiatry

NPI 1881829596

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location September 01, 2023

Registered at 17720 NE HALSEY ST STE A, PORTLAND, OR 972306771 (Tel: 5036547654)

πŸ“
Updated Practice Location July 01, 2022

Registered at 12505 SE RAYMOND ST, PORTLAND, OR 972363931 (Tel: 5037608300)

πŸ“
Updated Business Mailing Address July 01, 2022

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2022

Case Manager/Care Coordinator (license number reported to NPPES: None PROFESSIONALLICENSE)

βœ…
NPI Profile Active October 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2019

Registered at 13317 SE POWELL BLVD, PORTLAND, OR 972363335 (Tel: 5037609606)

πŸ“
Business Mailing Address (Initial Record) October 15, 2019

Registered at PO BOX 8459, PORTLAND, OR 972078459

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2019

Recorded as DEVIN DYQUISTO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Adult Companion

🟒
Initial NPI Registration & Enumeration October 15, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235771890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2019
Last Update: September 01, 2023
Sole Proprietor: No

Mailing Address

3587 Heathrow Way

Medford, OR 975044004

Phone: 5418588170

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.