Individual
DEBRA J GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1620 COOPER POINT RD SW, OLYMPIA, WA 98502-5736
(360) 486-6710
(360) 705-0614
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60215083
WA
363LA2100X
Acute Care Nurse Practitioner
AP60215083
WA
Other
Enumeration date
05/10/2011
Last updated
05/25/2021
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