Individual
DEBRA KAYE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19250 SW 65TH AVE, SUITE 135, TUALATIN, OR 97062-7452
(503) 692-8560
(503) 692-8562
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00147798
WA
363L00000X
Nurse Practitioner
Primary
201150017NP
OR
363L00000X
Nurse Practitioner
AP60156749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500637511
—
OR
Enumeration date
12/24/2010
Last updated
09/28/2020
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