Individual
DR. DEBORAH KAY PACK-PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3237
(503) 988-5183
(503) 988-5182
Mailing address
15823 NE 19TH ST, VANCOUVER, WA 98684-4517
(503) 657-1254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2252
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22959
—
OR
Enumeration date
09/13/2011
Last updated
01/03/2016
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