Individual
DEBBIE JEAN PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 N ORANGE ST, STE 303, MISSOULA, MT 59802-2956
(406) 728-3111
(406) 728-3116
Mailing address
900 N ORANGE ST, STE 303, MISSOULA, MT 59802-2956
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
496
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000900003
BLUE CROSS BLUE SHIELD
MT
05
—
1598816860
—
MT
Enumeration date
01/15/2007
Last updated
06/23/2021
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