Individual
DEBORAH MUNSON MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP, MSN
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE # 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
088006431N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28058
—
OR
Enumeration date
08/04/2006
Last updated
07/08/2007
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