Todd, Debra L

Todd, Debra L is an individual health care provider with primary practice located at 1001 Molalla Ave Ste 100 , Oregon City OR 97045-3753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Todd, Debra L can be contacted via phone (503) 656-5273.

Contact Information

Primary practice address
1001 Molalla Ave Ste 100 Oregon City OR 97045-3753
Phone: (503) 656-5273
Fax: (503) 650-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 083038655N3 Oregon

Profile Details

NPI number 1770535031
LBN Legal business name Todd, Debra L
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 29th, 2010 - about 16 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 1770535031 NPPES
Other 500013455 RR PIN #
MEDICAID 210692 RR PIN #

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