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Individual

DEBRA ACHENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
410 N 9TH ST, COTTAGE GROVE, OR 97424-1307
(541) 942-2850
(541) 942-1574
Mailing address
410 N 9TH ST, COTTAGE GROVE, OR 97424-1307
(541) 942-2850
(541) 942-1574

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200250056NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019047
OR
Enumeration date
12/08/2006
Last updated
09/23/2008
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