Individual
NAOMI GEMMA DEBBAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3342 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5047
(919) 632-0466
Mailing address
3342 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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