Individual
DEBRA M CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP, ARNP
Contact information
Practice address
19300 SE 65TH AVENUE LEGACY MERIDIAN PARK, TUALATIN, OR 97062
(503) 692-7421
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6170
(503) 331-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050189
OR
363LF0000X
Family Nurse Practitioner
60226348
WA
Other
Enumeration date
04/20/2010
Last updated
12/28/2021
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