Individual
DEBRA L. KOUTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
628 N MAIN ST, ASHLAND, OR 97520-1710
(541) 201-4930
(541) 201-4931
Mailing address
2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD19083
OR
Other
Enumeration date
10/17/2005
Last updated
07/08/2014
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