Individual
DEBRA J MINCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT/GERIATRIC NP
Contact information
Practice address
1010 SW COAST HWY STE 201, NEWPORT, OR 97365-5240
(541) 265-8816
Mailing address
3015 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5131
(541) 994-5591
(541) 996-7294
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200550111NP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
200550112NP
OR
Other
Enumeration date
07/26/2005
Last updated
12/27/2016
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