Individual
MS. DEBORAH ANN WELLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201391679RN
OR
163W00000X
Registered Nurse
30947
AK
163W00000X
Registered Nurse
RN100468
AZ
363L00000X
Nurse Practitioner
1127
AK
363L00000X
Nurse Practitioner
AP3186
AZ
363LF0000X
Family Nurse Practitioner
Primary
201391680NP-PP
OR
Other
Enumeration date
09/16/2008
Last updated
01/02/2014
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