Wong, Debrah A
Wong, Debrah A is an individual health care provider with primary practice located at 1111 Ne 99Th Ave , Portland OR 97220-9428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wong, Debrah A can be contacted via phone (503) 963-3030.Contact Information
Primary practice address
1111 Ne 99Th Ave
Portland OR 97220-9428
Phone: (503) 963-3030
Fax: (503) 963-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 097006867N1 FNP-PP | Oregon |
Profile Details
| NPI number | 1962495044 |
|---|---|
| LBN Legal business name | Wong, Debrah A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962495044 | NPPES |
| Washington | MEDICAID | 9643966 | |
| Washington | MEDICAID | 276692 |
Popular Providers
-
Browning, Mary Ann
3181 Sw Sam Jackson Park Rd Cdw-Em, Portland OR 97239-3011 -
Kittleson, Bonnie K
10000 Se Main St Ste 350 , Portland OR 97216-2474 -
Griswold, Roxanne Ruyle
4805 Ne Glisan St Ste 6N40, Portland OR 97213-2933 -
Holmes, Shelda
5311 N Vancouver Ave , Portland OR 97217-2731 -
Flanders, Ingrid
3360 Ne 133Rd Ave , Portland OR 97230-2811 -
Dobrunick, Lyn B
4805 Ne Glisan St Ste 6N40 , Portland OR 97213-2933 -
Leatherwood, Amy Eiko Bernel
3303 Sw Bond Ave. , Portland OR 97239 -
Schoen, Elke
1111 Ne 99Th Ave , Portland OR 97220-9428