Achenbach, Debra

Achenbach, Debra is an individual health care provider with primary practice located at 410 N 9Th St , Cottage Grove OR 97424-1307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Achenbach, Debra can be contacted via phone (541) 942-2850.

Contact Information

Primary practice address
410 N 9Th St Cottage Grove OR 97424-1307
Phone: (541) 942-2850
Fax: (541) 942-1574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200250056NP Oregon

Profile Details

NPI number 1477612869
LBN Legal business name Achenbach, Debra
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477612869 NPPES
Oregon MEDICAID 019047

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