Individual
DEBRA ANN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00510
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165878
—
OR
01
—
970012159
RAILROAD MEDICARE
OR
Enumeration date
01/27/2006
Last updated
06/12/2009
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