Individual
JOANN S. DEUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-8716
Mailing address
6624 NW MERIDIAN RIDGE DR, PORTLAND, OR 97210-6600
(503) 313-4717
(503) 494-2721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
096007681N1
OR
363LF0000X
Family Nurse Practitioner
096007681RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299983
—
OR
Enumeration date
08/01/2006
Last updated
12/28/2011
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