Individual
DR. DEBORAH LYNNE WIRSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
939 HARLOW RD STE 110, SPRINGFIELD, OR 97477-1190
(541) 686-9551
Mailing address
939 HARLOW RD STE 110, SPRINGFIELD, OR 97477-1190
(541) 686-9551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD158114
OR
207L00000X
Anesthesiology Physician
ML 60019585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857002982
EID
—
Enumeration date
09/04/2008
Last updated
09/04/2015
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