Organization
DEBORAH K RUPAE FNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RUPAE FNP (MEMBER)
(360) 891-0505
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE, SUITE 201, VANCOUVER, WA 98683-9644
(360) 891-0505
(360) 891-0730
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(360) 891-0505
(360) 891-0730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645714
—
WA
Enumeration date
08/17/2006
Last updated
04/24/2008
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